Jo Ann Elizabeth Marsala-Goettel, PT

Individual provider Active NPI Local Education Agency (LEA) · Cleveland, NY

NPI 1295021848 · NPPES record last updated Jun 22, 2011

Key facts

NPI
1295021848
Entity type
Individual (NPI type 1)
Primary specialty
Local Education Agency (LEA) 251300000X
License
7122197 (NY)
Practice address
44 Bridge St
Cleveland, NY 13042-3189
Phone
(315) 378-5171
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7122197NYMDLocal Education Agency (LEA)

Practice roles

OrganizationSpecialtyStatusNew patients
Mauro-Bertolo Therapy SVCS PTPC Past
since Jan 1, 1996
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 7122197 NY Yes

Addresses

Primary practice location

44 Bridge St
Cleveland, NY 13042-3189

Mailing address

44 Bridge St
Cleveland, NY 13042-3189
Phone (315) 378-5171

Other names

  • Ms. Jo Ann Elizabeth Marsala Other name

Other providers in Cleveland, NY

All providers in Cleveland, NY · Local Education Agency (LEA) in New York

Sources for this page

Verify at the official NPI Registry.