Individual provider Active NPI

Roberto Rojo Marilla Jr., RPT

  • Physical Therapist
  • Saipan, MP
National Provider Identifier
1922346089
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0036 Issued in MP
Practice address
1 Lower Navy Hill
500409 Chalan Kanoa
Saipan, MP 96950-0409
Phone
(670) 234-8950
Fax
(670) 236-8756
NPI assigned
Jan 24, 2013
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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 0036 MP Primary

Addresses

Primary practice location

1 Lower Navy Hill
500409 Chalan Kanoa
Saipan, MP 96950-0409

Mailing address

P.O. Box 500409
1 Lower Navy Hill
Saipan, MP 96950-0409
Phone (670) 234-8950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150226000650 MP Practitioner - Physical Therapist in Private Practice 3173849718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0036MPMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Healthcare Corporation CurrentSince Nov 7, 2012 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Nov 7, 2012 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1922346089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 500409",
            "address_2": "1 LOWER NAVY HILL",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969500409",
            "telephone_number": "670-234-8950",
            "fax_number": "670-236-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LOWER NAVY HILL",
            "address_2": "500409 CHALAN KANOA",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969500409",
            "telephone_number": "670-234-8950",
            "fax_number": "670-236-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARILLA",
        "first_name": "ROBERTO",
        "middle_name": "ROJO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MP",
            "license": "0036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.

Verify at the official NPI Registry.