Individual provider Active NPI

Antonia Marie-Vega Norris, DPT

  • Physical Therapist
  • Lafayette, CA
National Provider Identifier
1679842850
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38577 Issued in CA
Practice address
3468 Mt Diablo Blvd
Suite B110
Lafayette, CA 94549-3957
Phone
(925) 284-6150
Fax
(925) 284-6155
NPI assigned
Dec 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 38577 CA Primary

Addresses

Primary practice location

3468 Mt Diablo Blvd
Suite B110
Lafayette, CA 94549-3957

Mailing address

3468 Mt Diablo Blvd Ste B110
Lafayette, CA 94549-7105
Phone (925) 284-6150

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
38577CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1679842850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD STE B110",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945497105",
            "telephone_number": "925-284-6150",
            "fax_number": "925-284-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD",
            "address_2": "SUITE B110",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493957",
            "telephone_number": "925-284-6150",
            "fax_number": "925-284-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "ANTONIA",
        "middle_name": "MARIE-VEGA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-18",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.