Individual provider Active NPI

Marco Luis Silveira, P.T.

  • Orthopedic Physical Therapist
  • Hanford, CA
National Provider Identifier
1508009002
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
22843 Issued in CA
Practice address
1489 W Lacey Blvd
Suite 105
Hanford, CA 93230-5957
Phone
(559) 585-8087
Fax
(559) 585-1933
NPI assigned
Apr 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 22843 CA Primary

Addresses

Primary practice location

1489 W Lacey Blvd
Suite 105
Hanford, CA 93230-5957

Mailing address

1489 W Lacey Blvd
Suite 105
Hanford, CA 93230-5957
Phone (559) 585-8087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090604000602 CA Practitioner - Physical Therapist in Private Practice 6800946286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

716 Garner Ave
Suite 103
Hanford, CA 93230-4313
Phone (559) 772-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22843CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physius Physical Therapy & Wellness CurrentSince Sep 1, 2013 Accepting new patients
Physical Therapy Unlimited, Inc. Orthopedic Past Accepting new patients

Locations

716 Garner Ave
Ste 103
Hanford, CA 93230
Phone (559) 381-1024

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1508009002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 W LACEY BLVD",
            "address_2": "SUITE 105",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305957",
            "telephone_number": "559-585-8087",
            "fax_number": "559-585-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 W LACEY BLVD",
            "address_2": "SUITE 105",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305957",
            "telephone_number": "559-585-8087",
            "fax_number": "559-585-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVEIRA",
        "first_name": "MARCO",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "22843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.

Verify at the official NPI Registry.