Deborah Anne Mazanek, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305006711 Issued in VA

Practice address

732 Thimble Shoals Blvd
Suite 906
Newport News, VA 23606-4218

Phone

(757) 248-9191

Fax

(757) 596-2666

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013929850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PEACHTREE LN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934439",
            "telephone_number": "757-865-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 906",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064218",
            "telephone_number": "757-248-9191",
            "fax_number": "757-596-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZANEK",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxim Healthcare Services, Inc.
• Maxwell Community Care Services
• Deadra Maxwell, CRNA
• Caitlyn Lee May, M.S CCC-SLP
• Rachel Mayer, MD
• Silya Mazigh, M.D.
• Jason Daniel Mazzurco, DO
• Krystin McAdams
• Laura Evelyn McAleer-Leavey, MD
• Amy McAllister

• Physical Therapist in Newport News, VA
• Providers in Newport News, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.