Individual provider Active NPI

Whitney Marsh, DPT

  • Physical Therapist
  • San Luis Obispo, CA
National Provider Identifier
1811773518
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304841 Issued in CA
Practice address
805 Aerovista PL Ste 104
San Luis Obispo, CA 93401-7921
Phone
(805) 543-7771
Fax
(805) 543-7761
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 304841 CA Primary

Addresses

Primary practice location

805 Aerovista PL Ste 104
San Luis Obispo, CA 93401-7921

Mailing address

408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805

Other practice location 1

1640 Marengo St Ste 102
Los Angeles, CA 90033-1061
Phone (323) 865-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003001555 CA Practitioner - Physical Therapist in Private Practice 7911351416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

805 Aerovista PL
Suite 104
San Luis Obispo, CA 93401-7921
Phone (805) 543-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Sep 7, 2023 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Sep 7, 2023 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

7325 El Camino Real
Atascadero, CA 93422
Phone (805) 466-6719

1640 Marengo St
Ste 102
Los Angeles, CA 90033
Phone (323) 224-7070

1640 Marengo St
Los Angeles, CA 90033
Phone (323) 223-4091

1031 W 34th St
Ste 450
Los Angeles, CA 90089
Phone (213) 740-0215

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

533 Five Cities Dr
Ste C6
Pismo Beach, CA 93449
Phone (805) 489-7912

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

805 Aerovista Pl
Ste 104
Sn Luis Obisp, CA 93401
Phone (805) 543-7771

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1811773518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 AEROVISTA PL STE 104",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017921",
            "telephone_number": "805-543-7771",
            "fax_number": "805-543-7761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Marengo St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331061",
            "country_code": "US",
            "telephone_number": "323-865-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "WHITNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.

Verify at the official NPI Registry.