Maria Filipina Mariano Pantig, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05003203A Issued in IN

Practice address

19167 Glendale Ave
South Bend, IN 46637-2706

Phone

(574) 273-1442

Fax

(574) 273-1442

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kids for Life Physical Therapy Inc.

  • Physical Therapist
  • South Bend, IN
  • NPI 1639389067
  NPD (past) Authorized official
• Children'S Therapy Innovations Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • South Bend, IN
  • NPI 1407166192
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295945699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19167 GLENDALE AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466372706",
            "telephone_number": "574-273-1442",
            "fax_number": "574-273-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19167 GLENDALE AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466372706",
            "telephone_number": "574-273-1442",
            "fax_number": "574-273-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTIG",
        "first_name": "MARIA FILIPINA",
        "middle_name": "MARIANO",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003203A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Management Care PC
• Robin M Palisano-Wolfe, PTA
• Edna Pamatmat, M.D.
• Jolene Florence Pangani, ATC
• Luiz C Pantalena Filho, MD, PHD
• Terry Pantig, PTA
• Ann Marie Papczynski, FNP
• John Raymond Parhm Jr., P.T.A.
• Gabriel Paris
• Susan E Park, MD

• All providers in South Bend, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.