Matthew Marino, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025405-1 Issued in NY

Practice address

40 Village PLZ
Dansville, NY 14437-9260

Phone

(585) 335-2456

Fax

(585) 335-3494

NPI assigned

Jul 7, 2006

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Male

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shuman Physical Therapy Associates PCGroup PAC ID 6709869209, 142 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shuman Physical Therapy Associates, P.C.

  dba Lattimore Physical Therapy

  • Physical Therapist
  • Rochester, NY
  • NPI 1003928755
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1326070566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 693",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145060693",
            "telephone_number": "585-851-9987",
            "fax_number": "585-335-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 VILLAGE PLZ",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379260",
            "telephone_number": "585-335-2456",
            "fax_number": "585-335-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "MATTHEW",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025405-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Lyons, M.D.
• Miranda Lyons
• Madison L Maniace, PA
• Jordan Re Manley, LMHC-LP
• Heather Leigh Marble
• Kevin George Mark, PT
• Lei Mark, PT
• Jill Matzek, RPA-C
• Douglas Mayhle, M.D.
• Christopher McAneney

• Physical Therapist in Dansville, NY
• Providers in Dansville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.