Individual provider Active NPI

Joanne F Mascarinas

  • Physical Therapist
  • Fullerton, CA
National Provider Identifier
1669548277
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21974 Issued in CA
Practice address
1001 S Brookhurst Rd
101
Fullerton, CA 92833-3700
Phone
(213) 321-7814
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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 PT21974 CA Primary

Addresses

Primary practice location

1001 S Brookhurst Rd
101
Fullerton, CA 92833-3700

Mailing address

1001 S Brookhurst Rd
101
Fullerton, CA 92833-3700
Phone (213) 321-7814

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

State licenses

LicenseStateTypeSpecialty
21974CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ash Rehab Inc CurrentSince Oct 1, 2015 Accepting new patients
Orangeview Physical Therapy Inc. Physical Therapist PastSince Nov 27, 2006 Accepting new patients

Locations

1001 S Brookhurst Rd
Ste 101
Fullerton, CA 92833
Phone (714) 879-9968

Interoperability endpoints

  • Direct secure messaging: joanne.mascarinas.1@32907.direct.athenahealth.com

Organizations & group practices 2

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1669548277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S BROOKHURST RD",
            "address_2": "101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333700",
            "telephone_number": "213-321-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S BROOKHURST RD",
            "address_2": "101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333700",
            "telephone_number": "213-321-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARINAS",
        "first_name": "JOANNE",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.