Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aivy Marie Mariano

Individual provider Physical Therapist · NPI 1235941196

Aivy Marie Mariano is a Physical Therapist in Private Practice in LA Mesa, California. Qualified in 2022, 4 years ago. Registered with an NPI since 2025.

Years since qualifying
4
In the registry since
2025

Practice location Address checks out

8380 Center Dr Ste E
LA Mesa, CA 91942-2952
Phone: (619) 466-6077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1235941196
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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