Dana Mrvica, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6236 Issued in AZ

Practice address

294 W Carlos Ave
Holbrook, AZ 86025-1846

Phone

(928) 524-2123

NPI assigned

Oct 18, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801977384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "city": "KEAMS CANYON",
            "state": "AZ",
            "postal_code": "860340051",
            "telephone_number": "928-738-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W CARLOS AVE",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860251846",
            "telephone_number": "928-524-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRVICA",
        "first_name": "DANA",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "848690",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cindy L Percy, MS, LPC
• Petrified Forest Medical Center. Inc.

• All providers in Holbrook, AZ
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.