Active NPI
Debra J Mesisca, PT
- Physical Therapist
- Marina del Rey, CA
National Provider Identifier
1861472235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8170
- Practice address
- 13900 Panay Way Apt Sr318
Marina del Rey, CA 90292-6141 - Phone
- (310) 467-3713
- NPI assigned
- Jan 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT8170 | CA | Primary |
Addresses
Primary practice location
13900 Panay Way Apt Sr318
Marina del Rey, CA 90292-6141
Mailing address
13900 Panay Way Apt Sr318
Marina del Rey, CA 90292-6141
Phone (310) 467-3713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101103000278 | CA | Practitioner - Physical Therapist in Private Practice | 9436343555 | Practice locations: Marina del Rey, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT8170 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1861472235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13900 PANAY WAY APT SR318",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926141",
"telephone_number": "310-467-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13900 PANAY WAY APT SR318",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926141",
"telephone_number": "310-467-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESISCA",
"first_name": "DEBRA",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT8170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marina del Rey, CA
- Wendy Melgar
- Melikian MD a Professsional Corporation
- Rojeh Melikian, M.D.
- Barbara Mescher, MFT, ATR, BC
- Chloe Meshel - Wood
- Amy Messer, LAC
- Kirsten Elizabeth Mewaldt, M.D.
- Michael a Stone MD a Professional Corporation
- Michael Billauer D.C., a Professional Chiropractic Corporation
- Shlomit Michaely, PH. D. L. AC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.