Mary Osarczuk, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

000271-1 Issued in NY

Practice address

221 N Sunrise Service Rd
Manorville, NY 11949-9604

Phone

(631) 878-8900

Fax

(631) 878-8962

NPI assigned

Mar 2, 2016

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

Other names 1

• Mary Andrejack-Osarczuk Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1366802415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BAITING HOLLOW LN",
            "city": "CALVERTON",
            "state": "NY",
            "postal_code": "119331405",
            "telephone_number": "631-727-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N SUNRISE SERVICE RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119499604",
            "telephone_number": "631-878-8900",
            "fax_number": "631-878-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSARCZUK",
        "first_name": "MARY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "000271-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ANDREJACK-OSARCZUK",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Ocasio
• Phinnah Ohakam, LPN
• Frances E Omaga
• Eileen Marie Oreilly
• Lisa Orourke
• Jacklyn Pallas, CCC-SLP
• Anita L Pallotta, RN
• Linda O Paul
• Peconic Bay Medical Center
• Peconic Bay Medical Services, P.C.

• Physical Therapy Assistant in Manorville, NY
• Providers in Manorville, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.