MRS. MARYSIA ADELE BOECKMAN (NPI# 1568765501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568765501 |
| Entity Type | Individual |
| Full Name | MRS. MARYSIA ADELE BOECKMAN |
| Credential | DPT |
| Practice Address |
11105 Knott Ave Suite A Cypress CA 90630-5137 |
| Practice Telephone | 7148937399 |
| Practice Fax Number | 7148937389 |
| Mailing Telephone | 7148937399 |
| Mailing Fax Number | 7148937389 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2013-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT 37359 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11105 KNOTT AVE SUITE A |
| City | CYPRESS |
| State | CA |
| Zip Code | 90630-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295917284 | Cherrilyn Quiec Cheng | Counselor | 11105 Knott Ave, Cypress, CA 90630-5137 | 2007-11-30 |
| 1699171090 | Lindsay A Pietruszewski | Specialist | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2014-11-12 |
| 1912318189 | Susanne Mapes | Occupational Therapy Assistant | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2014-05-09 |
| 1447661616 | Christine Swopes | Speech-Language Pathologist | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2014-05-09 |
| 1730508342 | Lori Griffin | Occupational Therapist | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2014-04-10 |
| 1720400617 | Londra Wagner | Specialist/Technologist | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2014-01-10 |
| 1780006783 | Kathy Nguyen | Specialist/Technologist | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2014-01-09 |
| 1598194078 | Nicole Mclaughlin | Speech-Language Pathologist | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2013-11-05 |
| 1245662402 | Ga Hea Cho | Occupational Therapist | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2013-07-30 |
| 1982942645 | Valerie Bao Ngoc Trinh | Speech-Language Pathologist | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2013-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997882 | Selene Monique Bustamante | Assistant Behavior Analyst | 10202 Aurelia Ave, Cypress, CA 90630 | 2020-03-18 |
| 1063068872 | Harriet Lang | Technician | 10717 Thomas Circle, Cypress, CA 90630 | 2019-08-16 |
| 1831756527 | Faye Uy Dds, A Professional Corporation | Dentist | 9521 Valley View St, Cypress, CA 90630 | 2019-05-29 |
| 1538686597 | Genentox Laboratories LLC | Clinical Medical Laboratory | 5252 Orange Avenue, Suite 101, Cypress, CA 90630 | 2017-08-29 |
| 1770007643 | Cory Glen Lovelace | Physical Therapist | 6452 Cantiles Ave, Cypress, CA 90630 | 2017-08-01 |
| 1043749641 | Anna Marie Lonetti | Counselor | 5712 Camp St., Cypress, CA 90630 | 2017-06-07 |
| 1073922969 | Sungsim Hwang | Acupuncturist | 9091 Holder St #120, Cypress, CA 90630 | 2014-08-05 |
| 1821429499 | David Kim Endo Dmd Inc | Dentist | 9242 Walker St. Unit C, Cypress, CA 90630 | 2013-12-09 |
| 1235474941 | Arlen Grajeda | Marriage & Family Therapist | 5712 Campt St, Cypress, CA 90630 | 2012-12-06 |
| 1083968697 | Byungheon Moon | Acupuncturist | 5241 Lincoln Ave. Ste C1, Cypress, CA 90630 | 2012-11-05 |
| Find all providers in zip 90630 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467604694 | South Coast Therapy, Inc. | Physical Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2008-10-21 |
| 1508471715 | Lauren Witmer | Physical Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2020-09-14 |
| 1538771571 | Haley Scott | Physical Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2020-08-20 |
| 1073067104 | Tina Lee | Physical Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2016-08-05 |
| 1851760508 | Jonathan Baik | Physical Therapist | 11205 Knott Ave, Suite E, Cypress, CA 90630-5489 | 2015-09-23 |
| 1952785107 | Pediatric Physical Therapy Services | Physical Therapist | 15915 Reston Bridge Dr, Cypress, TX 77429-6907 | 2015-07-17 |
| 1013296094 | Tye Ichiro Masaki | Physical Therapist | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2011-08-09 |
| 1477788131 | Maria Garduno | Physical Therapist | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2009-05-26 |
| 1760617567 | Megumi Schiefer | Physical Therapist | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2009-05-21 |
| 1033344833 | Deanna Von Ibsch | Physical Therapist | 11105 Knott Ave, Suite A, Cypress, CA 90630-5137 | 2009-05-21 |
| Find all providers in CYPRESS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.