Mary J. Mott, MPAS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9101315 Issued in FL

Practice address

8431 Heritage Green Way
Bradenton, FL 34212-1400

Phone

(941) 896-3900

Fax

(941) 896-3901

NPI assigned

Aug 21, 2006

Last updated

Jan 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

LWR Family Practice Walk-in PLGroup PAC ID 8820282288, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mary.mott.1@21207.direct.athenahealth.com
• Direct secure messaging: mary.mott@lfp-fl.direct.office.nextgen.com

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

• LWR Family Practice Walk-in PL

  • Family Medicine Physician
  • Lakewood Ranch, FL
  • NPI 1639496540
  Medicare reassignment Care Compare group Authorized official
• Sarasota Immediate Care Inc

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1538239116
  Medicare reassignment
• Patient Connect Healthcare Clinic LLC

  • Clinic/Center
  • St Petersburg, FL
  • NPI 1104106525
  NPD (past)
• Richard a Krumholz MD PL LLC

  • Allergy Physician
  • Sarasota, FL
  • NPI 1114113537
  NPD (past)
• Ohio Allergy Associates, Inc.

  dba Allergy and Asthma Centre of Dayton

  • Allergy & Immunology Physician
  • Centerville, OH
  • NPI 1962489435
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lakewood Ranch Medical Center

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1730179714
  Care Compare affiliation
• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1114033370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8431 HERITAGE GREEN WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342121400",
            "telephone_number": "941-896-3900",
            "fax_number": "941-896-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8431 HERITAGE GREEN WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342121400",
            "telephone_number": "941-896-3900",
            "fax_number": "941-896-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "MARY",
        "middle_name": "J.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYS ASST LICENSE",
            "identifier": "PA9101315",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292028000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Mosholder, PTA
• Mark L Moskowitz, DDS
• Thomas Edward Moss III, RPH
• Motopoole Express Transportation 'LLC'
• Suze Motrose
• Dana E Moulton, OTR/L, CHT
• Movement Sarasota
• Inda M Mowett, MD
• Emily Grace Moyer
• Marc Moyer

• Medical Physician Assistant in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.