Individual provider Active NPI

Maria Sancho

  • Physical Therapist
  • Pomona, CA
National Provider Identifier
1609271501
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19649 Issued in CA
Practice address
1902 Royalty Dr
Suite 170
Pomona, CA 91767-3030
Phone
(909) 620-9700
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19649 CA Primary

Addresses

Primary practice location

1902 Royalty Dr
Suite 170
Pomona, CA 91767-3030

Mailing address

4844 N Lakewood Blvd
Long Beach, CA 90808-1068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150924000310 CA Practitioner - Physical Therapist in Private Practice 7113234105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Able Physical Therapy Corp Physical Therapist CurrentSince Aug 1, 2015 Accepting new patients

Locations

480 S Indian Hill Blvd
Claremont, CA 91711
Phone (909) 620-9700

9530 Imperial Hwy
Ste A
Downey, CA 90242
Phone (562) 381-0877

1902 Royalty Dr
Ste 170
Pomona, CA 91767
Phone (909) 620-9700

1902 Royalty Dr
#170
Pomona, CA 91767
Phone (909) 620-9700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1609271501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4844 N LAKEWOOD BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR",
            "address_2": "SUITE 170",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673030",
            "telephone_number": "909-620-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHO",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.