Active NPI
Andrea Renee Marley, PT
- Physical Therapist
- Santa Clara, CA
National Provider Identifier
1528104072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15765
- Practice address
- 900 Kiely Blvd
Santa Clara, CA 95051 - Phone
- (408) 236-4545
- Fax
- (408) 236-4230
- NPI assigned
- Jan 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | PT15765 | CA | Primary |
Addresses
Primary practice location
900 Kiely Blvd
Santa Clara, CA 95051
Mailing address
1144 Park View Dr
Milpitas, CA 95035
Phone (408) 945-1007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT15765 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528104072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1144 PARK VIEW DR",
"city": "MILPITAS",
"state": "CA",
"postal_code": "95035",
"telephone_number": "408-945-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 KIELY BLVD",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95051",
"telephone_number": "408-236-4545",
"fax_number": "408-236-4230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLEY",
"first_name": "ANDREA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT15765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.