Individual provider Active NPI

Mariafernanda Munoz

  • Physical Therapist
  • Montclair, CA
National Provider Identifier
1699389247
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
298905 Issued in CA
Practice address
4959 Palo Verde St Ste 109C
Montclair, CA 91763-2358
Phone
(909) 971-3092
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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 298905 CA Primary

Addresses

Primary practice location

4959 Palo Verde St Ste 109C
Montclair, CA 91763-2358

Mailing address

4959 Palo Verde St Ste 109C
Montclair, CA 91763-2358
Phone (909) 971-3092

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

LicenseStateTypeSpecialty
298905CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha Physical Therapy, Inc Physical Therapist CurrentSince Sep 6, 2020 Accepting new patients
Rapha Rehabilities PastSince Sep 6, 2020 Accepting new patients

Locations

4959 Palo Verde St
Ste 109C
Montclair, CA 91763
Phone (909) 971-3092

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1699389247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 109C",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632358",
            "telephone_number": "909-971-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 109C",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632358",
            "telephone_number": "909-971-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "MARIAFERNANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.