Ilia Arieta

Individual provider Active NPI Physical Therapy Assistant · Pleasant Hill, CA

NPI 1982140190 · NPPES record last updated Jan 11, 2017

Key facts

NPI
1982140190
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
AT 8707 (CA)
Practice address
1923 Oak Park Blvd
Pleasant Hill, CA 94523-4601
Phone
(925) 930-0545
Fax
(925) 930-0717
NPI assigned
Jan 11, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AT 8707CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joan Marlene Arieta Physical Therapy Assistant Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT 8707 CA Yes

Addresses

Primary practice location

1923 Oak Park Blvd
Pleasant Hill, CA 94523-4601

Mailing address

301 Morello Ave
Martinez, CA 94553-3525

Other providers in Pleasant Hill, CA

All providers in Pleasant Hill, CA · Physical Therapy Assistant in California

Sources for this page

Verify at the official NPI Registry.