MAIANA DITAN DEL MAR PT
NPI 1891417275
Physical Therapist in Rocklin, CA

Active since September 13, 2022Accepts Medicare Assignment
4990 ROCKLIN RD STE B, ROCKLIN, CA 95677(916) 632-2273 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maiana Ditan Del Mar Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIANA DITAN DEL MAR PT (NPI 1891417275) is an individual physical therapist in Rocklin, California, licensed in California (302731) and active in the NPI registry since September 2022. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1891417275
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMAIANA DITAN DEL MARCredential: PT
Location Address4990 ROCKLIN RD STE BRocklin, CA 95677-4315
Mailing Address2745 Orchard Ln Apt 2207Sacramento, CA 95833-3795 · (916) 342-2636
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1891417275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 302731
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4990 ROCKLIN RD STE B, Rocklin, CA 95677

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maiana Ditan Del Mar Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870953656
PECOS Enrollment IDI20230712003651

Medicare Billing Reassignment

Medicare enrollment records show Maiana Del Mar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95677 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
4990 ROCKLIN RD STE B
ROCKLIN, CA 95677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maiana Del Mar's NPI number?

The NPI number for Maiana Del Mar is 1891417275. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Maiana Del Mar located?

Maiana Del Mar practices at 4990 Rocklin Rd Ste B, Rocklin, CA 95677. The listed phone number is (916) 632-2273.

What is Maiana Del Mar's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Maiana Del Mar enrolled in Medicare?

Yes. Maiana Del Mar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Maiana Del Mar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maiana Del Mar reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maiana Del Mar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maiana Del Mar was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.