Active NPI
Marife Tiangsing Enriquez
- Physical Therapist
- Palm Desert, CA
National Provider Identifier
1639488604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34491
- Practice address
- 74350 Country Club Dr
Palm Desert, CA 92260-1608 - Phone
- (314) 863-0769
- NPI assigned
- Sep 24, 2010
- 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 | 34491 | CA | Primary |
Addresses
Primary practice location
74350 Country Club Dr
Palm Desert, CA 92260-1608
Mailing address
74350 Country Club Dr
Palm Desert, CA 92260-1608
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1639488604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74350 COUNTRY CLUB DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922601608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74350 COUNTRY CLUB DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922601608",
"telephone_number": "314-863-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIQUEZ",
"first_name": "MARIFE",
"middle_name": "TIANGSING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.