Active NPI
Carrie Michelle Nofziger, PTA, B.A
- Geriatric Physical Therapist
- Downey, CA
National Provider Identifier
1649835307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- AT6760
- Practice address
- 7601 Imperial Hwy
Downey, CA 90242-3456 - Phone
- (562) 385-6239
- NPI assigned
- May 7, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | |||
| Geriatric Physical Therapist | 2251G0304X | AT6760 | CA | Primary |
Addresses
Primary practice location
7601 Imperial Hwy
Downey, CA 90242-3456
Mailing address
6362 Trinette Ave
Garden Grove, CA 92845-2839
Phone (562) 260-9214
Other practice location 1
7601 Imperial Hwy
Downey, CA 90242-3456
Phone (562) 385-6239
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT6760 | CA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1649835307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6362 TRINETTE AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452839",
"telephone_number": "562-260-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 IMPERIAL HWY",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423456",
"telephone_number": "562-385-6239"
}
],
"practiceLocations": [
{
"address_1": "7601 Imperial Hwy",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902423456",
"country_code": "US",
"telephone_number": "562-385-6239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOFZIGER",
"first_name": "CARRIE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "PTA, B.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "AT6760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.