Active NPI
Marissa Schubert, D.P.T.
- Physical Therapist
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 38809
- Practice address
- 2101 E 4TH St Ste 170
Santa Ana, CA 92705-3814 - Phone
- (714) 558-3977
- Fax
- (714) 558-0308
- NPI assigned
- Feb 28, 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 | PT 38809 | CA | Primary |
Addresses
Primary practice location
2101 E 4TH St Ste 170
Santa Ana, CA 92705-3814
Mailing address
200 Newport Center Dr
Newport Beach, CA 92660-7501
Phone (562) 777-1333
Other practice location 1
12555 Lakewood Blvd
Suite D
Downey, CA 90242-2771
Phone (562) 777-1333
Other practice location 2
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979
Other names 1
- Marissa Carratello
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2101 E 4TH St
Suite 170
Santa Ana, CA 92705-3814
Phone (714) 558-3977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 38809 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Current | Accepting new patients |
| California Rehab & Sports Therapy | Current | Accepting new patients | |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Current | Accepting new patients |
Locations
505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010
12555 Lakewood Blvd
Ste D
Downey, CA 90242
Phone (562) 777-1333
68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630
2101 E 4th St
Ste 170
Santa Ana, CA 92705
Phone (714) 558-3977
2101 E 4th St
#170
Santa Ana, CA 92705
Phone (714) 558-3977
Organizations & group practices 4
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.
-
dba California Rehabilitation & Sports Therapy
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1386696409
Physical Therapist
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1508540279
-
dba California Rehabilitation & Sports Therapy
- Physical Therapist
- Santa Ana, CA
- NPI 1114978830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1841564549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NEWPORT CENTER DR",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607501",
"telephone_number": "562-777-1333",
"fax_number": "562-777-1347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E 4TH ST STE 170",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053814",
"telephone_number": "714-558-3977",
"fax_number": "714-558-0308"
}
],
"practiceLocations": [
{
"address_1": "12555 Lakewood Blvd",
"address_2": "Suite D",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902422771",
"country_code": "US",
"telephone_number": "562-777-1333",
"fax_number": "562-777-1347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "866-839-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHUBERT",
"first_name": "MARISSA",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-28",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 38809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISSA",
"last_name": "CARRATELLO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.