Holly Eve Mandziara, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.011041 Issued in IL

Practice address

9253 Barberry LN
Des Plaines, IL 60016-4206

Phone

(847) 297-2461

NPI assigned

Mar 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Holly Eve Mrazek Professional name

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": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1053635219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9253 BARBERRY LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164206",
            "telephone_number": "847-297-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9253 BARBERRY LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164206",
            "telephone_number": "847-297-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDZIARA",
        "first_name": "HOLLY",
        "middle_name": "EVE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.011041",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.011041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "MRAZEK",
            "middle_name": "EVE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michelle O. Maliwat, DPT
• Alexis Mall, LCSW
• Evarisa Maloku, APRN, FNP-C
• Rani Mammen
• Lisa Mandl, LCPC, NCC, CCTP
• Mani N Subramanian MD SC
• Marisha Mani
• Stephanie Marie Manjarrez, BSW, MSW, LCSW
• Elizabeth D Manjooran, M.D., MD
• Georgene Ann Manley, LCPC

• Physical Therapist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.