Marissa Nicole Sendowsky, DPT, PT, ATC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT36352 Issued in CA

Practice address

710 E Golden Ave
Placentia, CA 92870-1635

Phone

(714) 993-2093

NPI assigned

Feb 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marissa Nicole Tice Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166

  Pediatrics

  Medicare reassignment Care Compare group NPD
• County of Orange

  • Physical Therapy Clinic/Center
  • Placentia, CA
  • NPI 1518004910
  NPD (past)

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1881916005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 E CHAPMAN AVE",
            "address_2": "UNIT 13",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694116",
            "telephone_number": "714-624-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E GOLDEN AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928701635",
            "telephone_number": "714-993-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDOWSKY",
        "first_name": "MARISSA",
        "middle_name": "NICOLE",
        "credential": "DPT, PT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT36352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "TICE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Logan Montana Schneider
• Carol Nancy Schreiber, N.P.
• Carrie Schultz
• Secure Health Medical Group Inc
• Secure Health Medical Group Inc
• Sally Seok
• Shipra Sethi
• Christina Seto, OTR/L
• Archana Shah
• Sital Anand Shah, DDS

• Pediatric Physical Therapist in Placentia, CA
• Providers in Placentia, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.