Active NPI
Natalie R Mar, DPT
- Physical Therapist
- Menlo Park, CA
National Provider Identifier
1720323397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39674
- Practice address
- 68 Willow Rd
Menlo Park, CA 94025-3653 - Phone
- (877) 390-6659
- NPI assigned
- Dec 7, 2012
- 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 | 39674 | CA | Primary |
Addresses
Primary practice location
68 Willow Rd
Menlo Park, CA 94025-3653
Mailing address
2624 Bush St
#5
San Francisco, CA 94115
Phone (510) 908-1707
Other practice location 1
1489 Webster St
Suite 21o
San Francisco, CA 94115-3766
Phone (415) 346-8373
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39674 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Hendersonville, NC
- NPI 1124626148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1720323397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 BUSH ST",
"address_2": "#5",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94115",
"telephone_number": "510-908-1707",
"fax_number": "510-908-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 WILLOW RD",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940253653",
"telephone_number": "877-390-6659"
}
],
"practiceLocations": [
{
"address_1": "1489 Webster St",
"address_2": "Suite 21o",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941153766",
"country_code": "US",
"telephone_number": "415-346-8373",
"fax_number": "415-346-0806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAR",
"first_name": "NATALIE",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-07",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.