Mary Elizabeth Pongetti, DPT
Physical Therapist in Laguna Hills, CA. Individual provider (NPI-1).
NPI number1508166265
StatusActive
Last updated in NPPESOct 28, 2010
Details
- NPI
- 1508166265
- Entity type
- Individual (NPI-1)
- Name
- Mary Elizabeth Pongetti
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2010
- Last updated
- Oct 28, 2010
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 |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT37262 | CA | Yes |
Practice location
24012 Calle De La PlataSuite 300
Laguna Hills, CA 92653-3621
Phone 949-340-6927 · Fax 949-215-7246
Mailing address
24012 Calle De La PlataSuite 300
Laguna Hills, CA 92653-3621
Phone 949-340-6927 · Fax 949-215-7246
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.
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