Donna Marmolejo, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT33123 Issued in CA

Practice address

950 Boardwalk Ste 204
San Marcos, CA 92078-2600

Phone

(760) 383-3278

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dynamic Abilities Pediatric Therapy: Occupational and Physical Therapy

  • Pediatric Physical Therapist
  • San Marcos, CA
  • NPI 1508555970

  Pediatrics

  NPD Authorized official
• Physical Therapy Specialists Inc

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1659300507
  NPD (past)
• W. Seth Bolling, MD, Inc

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
  • NPI 1366688756
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1467534511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BOARDWALK STE 204",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782600",
            "telephone_number": "760-383-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BOARDWALK STE 204",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782600",
            "telephone_number": "760-383-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOLEJO",
        "first_name": "DONNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33123",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT33123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaux Chavez Maribao, PT, DPT
• Mariposa Health Clinic
• Jacob Marisnick
• Marjan Rashedi DMD Inc
• Philip Louis Marjon, M.D.
• Francisco Marquez, M.D.
• Joan Marquez
• Laurel Marr
• Hertzel Marrero
• Nicole Dawn Mart

• Pediatric Physical Therapist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.