MARIVIC E CAGAMPAN (NPI# 1386664886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386664886 |
| Entity Type | Individual |
| Full Name | MARIVIC E CAGAMPAN |
| Credential | PT |
| Practice Address |
1500 Oglethorpe Ave Athens GA 30606-2179 |
| Mailing Address |
Po Box 6588 St Marys Home Health Care Athens GA 30604-9828 |
| Practice Telephone | 7063892273 |
| Mailing Telephone | 7063892273 |
| Mailing Fax Number | 7062088883 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
002234 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00839352A | 05 |
| Street Address |
1500 OGLETHORPE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749925 | Joy B Chastain | Specialist | 1500 Oglethorpe Ave, Ste 3000, Athens, GA 30606-2190 | 2005-06-10 |
| 1467957787 | Vandana Yanamadala | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Athens, GA 30606-2179 | 2018-03-28 |
| 1932604899 | Jamila-duyen Phuong Pham | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Athens, GA 30606-2179 | 2018-03-23 |
| 1295266484 | Yousef Treki | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179 | 2017-03-21 |
| 1073054409 | Jacob Sloan Kopp | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179 | 2017-03-18 |
| 1205377629 | Jane Mangwi Fon-ndikum | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Community Internal Medicine of Athens, Ste 200d, Athens, GA 30606-2179 | 2017-03-17 |
| 1255793600 | Martin Kagira | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179 | 2016-03-24 |
| 1548654015 | Soma Mandal | Internal Medicine | 1500 Oglethorpe Ave, Building 200d, Athens, GA 30606-2179 | 2015-03-23 |
| 1659765287 | Tenzing Phanthok | Internal Medicine | 1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179 | 2015-03-20 |
| 1801292412 | Melissa Margaret Cannon | Physician Assistant | 1500 Oglethorpe Ave, Suite 3000, Athens, GA 30606-2179 | 2014-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881077121 | Vernisha Bhakta | Physical Therapist | 1119 Prince Avenue, Athens, GA 30606 | 2015-07-06 |
| 1821115783 | Mary Kay Eastman | Physical Therapist | 507 Richland Ave, Suite 108, Athens, OH 45701-3700 | 2007-03-24 |
| 1841318235 | Susana Maria Bluhm | Physical Therapist | 1077 Baxter St, Babies Cant Wait Early Intervention, Athens, GA 30606 | 2007-03-26 |
| 1881614147 | Lori Ewing | Physical Therapist | 1500 Oglethorpe Ave, Athens, GA 30606-2179 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379794 | Building Pathways Therapy LLC | Physical Therapist | 2124 Cheshire Bridge Rd Ne Apt 2006, Atlanta, GA 30324-5731 | 2020-09-04 |
| 1679191464 | Pt Mamas, LLC | Physical Therapist | 5660 Lake Forrest Dr, Atlanta, GA 30342-4635 | 2020-07-08 |
| 1336764869 | Outside The Box Pediatric Therapy Solutions | Physical Therapist | 123 Talbot Rd, Savannah, GA 31410-4015 | 2020-06-10 |
| 1215557921 | Carly Cee Witt Gesite | Physical Therapist | 11785 Northfall Ln Ste 501&502, Alpharetta, GA 30009-7971 | 2020-04-22 |
| 1669009627 | Rebecca Grant | Physical Therapist | 5461 Meridian Mark Rd Ste 300, Atlanta, GA 30342-4014 | 2020-03-26 |
| 1508401704 | Danielle Anderson | Physical Therapist | 2146 Thompson Ave Se, Covington, GA 30014-2819 | 2019-11-12 |
| 1124677919 | Therapy Trails of Evans | Physical Therapist | 536 Grand Slam Dr Ste D, Evans, GA 30809-8045 | 2019-09-05 |
| 1043877459 | Hop, Skip & Jump Pediatric Physical Therapy LLC | Physical Therapist | 912 Milledge Rd, Augusta, GA 30904-4455 | 2019-05-21 |
| 1255894366 | Cicely Annette Watson | Physical Therapist | 2620 Satellite Blvd Ste 100, Duluth, GA 30096-1291 | 2019-04-08 |
| 1942772975 | Wee Care Pediatric Therapy, LLC | Physical Therapist | 335 Old Rail Rd, Bloomingdale, GA 31302-4025 | 2019-01-02 |
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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.