Individual provider Active NPI

Teresa Casciano Marzec, BS

  • Physical Therapist
  • Saugerties, NY
National Provider Identifier
1295032050
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006071-1 Issued in NY
Practice address
41 Deerhaven LN
Saugerties, NY 12477-3801
Phone
(845) 247-0787
NPI assigned
Feb 14, 2011
Sex
Female
Sole proprietor
Yes

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
006071-1NYMDPhysical Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006071-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

41 Deerhaven LN
Saugerties, NY 12477-3801

Mailing address

41 Deerhaven LN
Saugerties, NY 12477-3801
Phone (845) 247-0787

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
006071-1MedicaidNY
00671-1MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2011.

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1295032050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DEERHAVEN LN",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124773801",
            "telephone_number": "845-247-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 DEERHAVEN LN",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124773801",
            "telephone_number": "845-247-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZEC",
        "first_name": "TERESA",
        "middle_name": "CASCIANO",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "006071-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006071-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00671-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugerties, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.