Active NPI
Marlo Acuesta Sison, PTA
- Physical Therapy Assistant
- Torrance, CA
National Provider Identifier
1699320689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 49744
- Practice address
- 20820 Earl St
Torrance, CA 90503-4307 - Phone
- (310) 371-1228
- NPI assigned
- Aug 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 49744 | CA | Primary |
Addresses
Primary practice location
20820 Earl St
Torrance, CA 90503-4307
Mailing address
23310 Marigold Ave Unit 203
Torrance, CA 90502-2762
Phone (424) 772-8445
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49744 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1699320689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23310 MARIGOLD AVE UNIT 203",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022762",
"telephone_number": "424-772-8445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20820 EARL ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034307",
"telephone_number": "310-371-1228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISON",
"first_name": "MARLO",
"middle_name": "ACUESTA",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "49744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.