Michell Maryland

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

014593 Issued in AZ

Practice address

1305 S Gilbert Rd
Gilbert, AZ 85296-4019

Phone

(480) 621-8361

NPI assigned

Nov 30, 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

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": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1154031185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 SANTA ROSA DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856353351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S GILBERT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964019",
            "telephone_number": "480-621-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARYLAND",
        "first_name": "MICHELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "AZ",
            "license": "014593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannine Marie Martins, MS,CCC-SLP
• Carrie A Martinson, APRN, CNP
• Nicole E Martori
• Melissa Charlotte Marviglia, DPT
• Marvilene Home Care LLC
• Shannon Masamitsu, BCBA
• Casey Masen, PMHNP-BC
• Joseph W. Mashni Jr., M.D.
• Sapna Maslanka, NNP-BC
• Brett Mason

• Pediatric Rehabilitation Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatric Rehabilitation Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.