Active NPI
Ezequiel Alfredo Marzocchetti, PT
- Physical Therapist
- Palmdale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26241
- Practice address
- 1115 W Ave M-14
Palmdale, CA 93551 - Phone
- (661) 265-0060
- Fax
- (661) 265-0199
- NPI assigned
- Oct 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26241 | CA | Primary |
Addresses
Primary practice location
1115 W Ave M-14
Palmdale, CA 93551
Mailing address
1115 W Ave M-14
Palmdale, CA 93551
Phone (661) 265-0060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 W Ave
M14
Palmdale, CA 93551-1407
Phone (661) 265-0060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT26241 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Point Physical Therapy Center, Inc | Physical Therapist | Current | Accepting new patients |
Locations
9300 N Loop Blvd
California City, CA 93505
Phone (619) 373-4809
68845 Perez Rd
#H6
Cathedral Cty, CA 92234
Phone (760) 328-0292
1115 W Avenue M14
Palmdale, CA 93551
Phone (661) 265-0060
1431 W Rosamond Blvd
Ste 11
Rosamond, CA 93560
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Palmdale, CA
- NPI 1194807941
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477638229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 W AVE M-14",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93551",
"telephone_number": "661-265-0060",
"fax_number": "661-265-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 W AVE M-14",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93551",
"telephone_number": "661-265-0060",
"fax_number": "661-265-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARZOCCHETTI",
"first_name": "EZEQUIEL",
"middle_name": "ALFREDO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT26241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.