Mariza Goycoolea
Physical Therapy Assistant in Brawley, CA. Individual provider (NPI-1).
NPI number1033095013
StatusActive
Last updated in NPPESAug 14, 2025
Details
- NPI
- 1033095013
- Entity type
- Individual (NPI-1)
- Name
- Mariza Goycoolea
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2025
- Certification date
- Aug 13, 2025
- Last updated
- Aug 14, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 52758 | CA | Yes |
Practice location
409 W Main St # 407bBrawley, CA 92227-2244
Phone 760-925-3031
Mailing address
409 W Main St # 407bBrawley, CA 92227-2244
Phone 760-925-3031
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Brawley, CA
- Pedro Carlos AlbaNPI 1356933618
- Sergio Arturo ArmentaNPI 1518434406
- Russell EwbankNPI 1992683684
- Matthew OgleNPI 1306217435
All 5 Physical Therapy Assistant providers in Brawley · All 439 providers in Brawley
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