Active NPI
Marlaina B Vance
- Physical Therapist
- Campbell, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT291608
- Practice address
- 201 E Hamilton Ave
Campbell, CA 95008-0206 - Phone
- (408) 376-0900
- NPI assigned
- Jan 19, 2009
- Last updated
- Aug 22, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT291608 | CA | Primary |
Addresses
Primary practice location
201 E Hamilton Ave
Campbell, CA 95008-0206
Mailing address
201 E Hamilton Ave
Campbell, CA 95008-0206
Phone (408) 376-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2580 Hwy 95
Suite 213
Bullhead City, AZ 86442-7331
Phone (281) 614-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT291608 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wecare Rehab Services Inc | Physical Therapist | Current | Accepting new patients |
| MFR Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Northern Arizona Physical Therapy Associates | Physical Therapist | Past | Accepting new patients |
Locations
2580 Highway 95
Ste 213
Bullhead City, AZ 86442
Phone (281) 614-9400
1895 Mowry Ave
Ste 118A
Fremont, CA 94538
Phone (510) 760-0383
27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Bullhead City, AZ
- NPI 1306502166
-
- Physical Therapist
- Bullhead City, AZ
- NPI 1871079830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1700023389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E HAMILTON AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950080206",
"telephone_number": "408-376-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E HAMILTON AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950080206",
"telephone_number": "408-376-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "MARLAINA",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-19",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT291608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.