Mary Joy Codilla

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT8112 Issued in CA

Practice address

260 E Market St
Long Beach, CA 90805-5910

Phone

(562) 428-4681

NPI assigned

Dec 23, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1801284922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E MARKET ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055910",
            "telephone_number": "562-428-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E MARKET ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055910",
            "telephone_number": "562-428-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODILLA",
        "first_name": "MARY JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT8112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Cocchi, D.D.S.
• Taylor Cochran
• Tamara Louise Codd, REGISTERED NURSE
• Codi Benologa Licensed Clinical Social Worker Inc
• Jude Codilla
• Cheyenne Cody
• Morigan Shanee Brensh Coffee
• William Cofield Hopkins
• Keighly Grace Cogan, RN
• Michael L Cogan, MD

• Physical Therapy Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.