Marina Sports Physical Therapy P C
NPI 1225522725ActiveOrganization· Physical Therapist· Rancho Palos Verdes, CA
Physical Therapist in Rancho Palos Verdes, California, registered in NPPES in June 2018. The authorized official on file is Nicole C. Vittorio, PT, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225522725 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 18, 2018 |
| Last updated in NPPES | Jul 23, 2024 |
| Certified by provider | Jul 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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