Marissa Fanco, PT
NPI 1417144536 · Physical Therapist · Redondo Beach, CA
Marissa Fanco, PT is a Physical Therapist provider in Redondo Beach, CA (NPI 1417144536).
Provider details
- NPI number
- 1417144536
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT 33856 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-02
- Last updated
- 2010-06-16
Frequently asked questions
- What is Marissa Fanco's NPI number?
- Marissa Fanco's National Provider Identifier (NPI) is 1417144536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Fanco's specialty?
- Marissa Fanco is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Marissa Fanco located?
- Marissa Fanco's practice location on file with NPPES is 403 N Pacific Coast Hwy, Redondo Beach, CA 90277-2839.
- What is Marissa Fanco's phone number?
- The practice phone number listed in the NPPES registry for Marissa Fanco is (310) 798-8777.
- Is Marissa Fanco's NPI active?
- Yes — Marissa Fanco's NPI (1417144536) is active in the NPPES registry as of the last update on 2010-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.