Nicola Anne Mazza, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

003082-1 Issued in NY

Practice address

1901 Veterans Memorial Dr
Temple, TX 76504-7451

Phone

(180) 042-3211

Fax

(254) 743-0028

NPI assigned

Sep 18, 2009

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

Other names 1

• Nicola Anne Stewart Former 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": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1154654473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 VETERANS MEMORIAL DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047451",
            "telephone_number": "254-743-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 VETERANS MEMORIAL DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047451",
            "telephone_number": "180-042-3211",
            "fax_number": "254-743-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "NICOLA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "003082-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLA",
            "last_name": "STEWART",
            "middle_name": "ANNE",
            "credential": "P.T.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• W. Samuel May Jr., M.D.
• Elizabeth Maybin, MS, ATC, LAT
• Cammi Mayerlen, LPC
• Elizabeth Clair Mayo, CRNA
• Nap Mayorga
• Grace Ifunanya Mbagwu, PHARMD
• Russell K. McAllister, M.D.
• April McAnally, LPC
• Sean Ray McAnarney, DDS
• Katelyn McAtee, PT, DPT

• Physical Therapy Assistant in Temple, TX
• Providers in Temple, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.