Active NPI
Cindy Marlene Paquin, RPT
- Physical Therapist
- Cerritos, CA
National Provider Identifier
1558869719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12115
- Practice address
- 17709 Cortner Ave
Cerritos, CA 90703-8119 - Phone
- (562) 618-9283
- NPI assigned
- Jan 23, 2018
- 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 | PT12115 | CA | Primary |
Addresses
Primary practice location
17709 Cortner Ave
Cerritos, CA 90703-8119
Mailing address
17709 Cortner Ave
Cerritos, CA 90703-8119
Phone (562) 618-9283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT12115 | Other | STATE OF CA |
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 |
|---|---|---|---|
| PT12115 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1558869719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17709 CORTNER AVE",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907038119",
"telephone_number": "562-618-9283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17709 CORTNER AVE",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907038119",
"telephone_number": "562-618-9283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAQUIN",
"first_name": "CINDY",
"middle_name": "MARLENE",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT12115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CA",
"identifier": "PT12115",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.