Marisa Lynn-Castiglia Mancini, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13449 Issued in CT

Practice address

777 Echo Lake Road, Suite I
Watertown, CT 06795

Phone

(959) 209-4318

NPI assigned

Feb 4, 2022

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connect Physical Therapy LLCGroup PAC ID 2163792771, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Connect Physical Therapy, LLC

  • Physical Therapist
  • Watertown, CT
  • NPI 1891221370
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1033863402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NEWFIELD AVE APT 9",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082331",
            "telephone_number": "973-494-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ECHO LAKE ROAD, SUITE I",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "06795",
            "telephone_number": "959-209-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "MARISA",
        "middle_name": "LYNN-CASTIGLIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lotus Counseling of Connecticut LLC
• Nicholas Tyler Lucatino, BCBA
• Matoula Luis
• Jacqueline O Lustig, D.O.
• January Lynch, BCBA
• Nicole Marcelynas, M.S., CCC-SLP
• Diana Marroquin, PT
• Nicole Martino, LPC
• Kelly Ann Martoni, BCBA
• Heather Mastri

• Physical Therapist in Watertown, CT
• Providers in Watertown, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.