Mirjam Nicole Maassen, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01436F Issued in LA

Practice address

5627 Bankers Ave.
Baton Rouge, LA 70808

Phone

(225) 927-3000

Fax

(225) 927-4183

NPI assigned

Apr 24, 2006

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

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dutch Physical Therapy, Inc.Group PAC ID 4789617135, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Dutch Physical Therapy, Inc.

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1003917550
  Medicare reassignment Care Compare group NPD
• Dutch Physical Therapy, Inc.

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1114011152
  NPD

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1285690834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 BANKERS AVE.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-927-3000",
            "fax_number": "225-927-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 BANKERS AVE.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-927-3000",
            "fax_number": "225-927-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAASSEN",
        "first_name": "MIRJAM",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01436F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M. Giles Fort, M.D. a P M C
• M.Flasch Homebound Assistance, Inc (ComForcare Senior Services of Greater Baton Rouge)
• Ma Counseling
• Ma-la Development, LLC
• Madison Catalanotto Maas, MD
• Hailey Mabile, LCSW
• Vickie A Mabile, NP
• Jacqueline Macaluso, CPM, LM
• Cary Nelson Mack, PH.D.
• Kim Williams Mack, RSW

• Physical Therapist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.