Maricon Siapno Pepingco, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40QA01226200 Issued in NJ

Practice address

913 7TH Ave
Alpha, NJ 08865-4543

Phone

(908) 387-9321

NPI assigned

May 23, 2007

Last updated

May 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1710197819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 7TH AVE",
            "city": "ALPHA",
            "state": "NJ",
            "postal_code": "088654543",
            "telephone_number": "908-387-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 7TH AVE",
            "city": "ALPHA",
            "state": "NJ",
            "postal_code": "088654543",
            "telephone_number": "908-387-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPINGCO",
        "first_name": "MARICON",
        "middle_name": "SIAPNO",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA01226200",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHYSICAL THERAPY",
            "identifier": "PT40QA01226200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHYSICAL THERAPY",
            "identifier": "PT019272",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Alpha, NJ
• Providers in Alpha, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.