Active NPI
Laura S. Mariski, P.T.
- Physical Therapist
- Monticello, NY
National Provider Identifier
1174594972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010360-1
- Practice address
- 427 Broadway
Suite 3
Monticello, NY 12701-1742 - Phone
- (845) 796-2470
- Fax
- (845) 796-1420
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010360-1 | NY | Primary |
Addresses
Primary practice location
427 Broadway
Suite 3
Monticello, NY 12701-1742
Mailing address
427 Broadway
Suite 3
Monticello, NY 12701-1742
Phone (845) 796-2470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010360-1 | NY | MD | Physical Therapist |
| 010360 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1174594972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 BROADWAY",
"address_2": "SUITE 3",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127011742",
"telephone_number": "845-796-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 BROADWAY",
"address_2": "SUITE 3",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127011742",
"telephone_number": "845-796-2470",
"fax_number": "845-796-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARISKI",
"first_name": "LAURA",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010360-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.