Active NPI
Marilyn Rebeca Rabe
- Physical Therapy Assistant
- Chatsworth, CA
National Provider Identifier
1972078343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA49495
- Practice address
- 9259 Eton Ave
Chatsworth, CA 91311-5808 - Phone
- (818) 280-3147
- NPI assigned
- Oct 11, 2018
- 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 Therapy Assistant | 225200000X | PTA49495 | CA | Primary |
Addresses
Primary practice location
9259 Eton Ave
Chatsworth, CA 91311-5808
Mailing address
21500 Chatsworth St
Chatsworth, CA 91311-1309
Phone (805) 304-8325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA49495 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Orthopedic Solutions Inc | Past | Accepting new patients | |
| Specialized Orthopedic Solutions, Inc | Past | 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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Chatsworth, CA
- NPI 1215476312
-
- Durable Medical Equipment & Medical Supplies
- Chatsworth, CA
- NPI 1083894406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1972078343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21500 CHATSWORTH ST",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913111309",
"telephone_number": "805-304-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9259 ETON AVE",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913115808",
"telephone_number": "818-280-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABE",
"first_name": "MARILYN",
"middle_name": "REBECA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-11",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "PTA49495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chatsworth, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.