Individual provider Active NPI

Marc A Comrie, PT

  • Physical Therapist
  • Reseda, CA
National Provider Identifier
1861799728
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37462 Issued in CA
Practice address
18039 Sherman Way
Reseda, CA 91335-4630
Phone
(818) 343-4303
Fax
(818) 343-4484
NPI assigned
Feb 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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 37462 CA Primary

Addresses

Primary practice location

18039 Sherman Way
Reseda, CA 91335-4630

Mailing address

27125 Sierra Hwy
Ste 203
Canyon Country, CA 91351-5428
Phone (661) 250-9940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110322000638 CA Practitioner - Physical Therapist in Private Practice 3476736836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vargo Physical Therapy, Inc.Group PAC ID 4486639143, 30 clinicians

Practice addresses (Care Compare)

11225 Tampa Ave
Northridge, CA 91326-1610
Phone (818) 363-9970

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37462CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vargo Physical Therapy, Inc. Physical Therapist CurrentSince Aug 23, 2011 Accepting new patients
Vargo Physical Therapy, Inc Physical Therapist Past Accepting new patients
Vargo Physical Therapy, Inc Physical Therapist Past Accepting new patients
Vargo Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

3425 W Victory Blvd
Burbank, CA 91505
Phone (818) 955-8855

27125 Sierra Hwy
Ste 203
Canyon Country, CA 91351
Phone (661) 250-9940

11225 Tampa Ave
Porter Ranch, CA 91326
Phone (818) 363-9970

18039 Sherman Way
Reseda, CA 91335
Phone (818) 708-8100

1240 Truman St
San Fernando, CA 91340
Phone (818) 403-6559

25115 Avenue Stanford
#B135
Valencia, CA 91355

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1861799728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27125 SIERRA HWY",
            "address_2": "STE 203",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913515428",
            "telephone_number": "661-250-9940",
            "fax_number": "661-250-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18039 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354630",
            "telephone_number": "818-343-4303",
            "fax_number": "818-343-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMRIE",
        "first_name": "MARC",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.