Mary Elizabeth Pongetti, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37262 Issued in CA

Practice address

24012 Calle de la Plata
Suite 300
Laguna Hills, CA 92653-3621

Phone

(949) 340-6927

Fax

(949) 215-7246

NPI assigned

Oct 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1508166265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533621",
            "telephone_number": "949-340-6927",
            "fax_number": "949-215-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533621",
            "telephone_number": "949-340-6927",
            "fax_number": "949-215-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONGETTI",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Katz Pluskalowski, MS OTR/L, SWC, IBCLC
• Pmdca, LLC
• Pmdtc, LLC
• PNP Associates
• Nicole Polidoro
• Alrea Jasmine Malinao Pontanares, RBT
• Shahrokh Poormehr, DO
• Amalia Stephany Porcel
• Positive Healthy Aging, Inc.
• Heather Marie Potter, DPT

• Physical Therapist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.