Provider Demographics
NPI:1487957205
Name:LIMARDI, CARA (PT, DPT, OCS)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:LIMARDI
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7379
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92607-7379
Mailing Address - Country:US
Mailing Address - Phone:714-915-4710
Mailing Address - Fax:
Practice Address - Street 1:4702 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-6902
Practice Address - Country:US
Practice Address - Phone:310-306-1478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-16
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA37585OtherPHYSICAL THERAPY BOARD OF CALIFORNIA
CA37585OtherPHYSICAL THERAPY BOARD OF CALIFORNIA
CACB206010Medicare PIN