Individual provider Active NPI

Graciela Marzocchetti, PT

  • Physical Therapist
  • Palmdale, CA
National Provider Identifier
1831265768
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16845 Issued in CA
Practice address
1115 West Ave M-14
Palmdale, CA 93551
Phone
(661) 265-0060
Fax
(661) 265-0199
NPI assigned
Nov 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT16845 CA Primary

Addresses

Primary practice location

1115 West Ave M-14
Palmdale, CA 93551

Mailing address

1115 West Ave. M-14
Palmdale, CA 93551
Phone (661) 265-0060

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

LicenseStateTypeSpecialty
PT16845CAMDPhysical Therapist

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
West Point Physical Therapy Center, Inc Physical Therapist CurrentSince Jan 2, 1997 Accepting new patients

Locations

9300 N Loop Blvd
California City, CA 93505
Phone (619) 373-4809

68845 Perez Rd
#H6
Cathedral Cty, CA 92234
Phone (760) 328-0292

1115 W Avenue M14
Palmdale, CA 93551
Phone (661) 265-0060

1431 W Rosamond Blvd
Ste 11
Rosamond, CA 93560

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831265768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEST AVE. M-14",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-265-0060",
            "fax_number": "661-265-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEST AVE M-14",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-265-0060",
            "fax_number": "661-265-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZOCCHETTI",
        "first_name": "GRACIELA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.