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

Mardie Encenzo

Individual provider Physical Therapist · NPI 1245442953

Mardie Encenzo is a Physical Therapist in Atwater, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

1685 Shaffer Rd
Atwater, CA 95301-4456
Phone: (209) 357-3420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT28051 (CA)

Record details

NPI number1245442953
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1685 Shaffer Rd, Atwater, CA 95301-4456

Other providers in Atwater