Cecilia C Mary

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

201 Dolson Ave Ste G100
Middletown, NY 10940

Phone

(845) 342-0000

NPI assigned

Nov 11, 2009

Sex

Female

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Wellness, PLLCGroup PAC ID 8022449354, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Physical Therapy Wellness, PLLC

  • Physical Therapist
  • Middletown, NY
  • NPI 1760026629
  Medicare reassignment Care Compare group NPD
• Middletown Physical Therapy, P.C

  • Physical Therapy Clinic/Center
  • Middletown, NY
  • NPI 1952541328
  NPD
• Orange County Neurology,P.C.

  • Neurology Physician
  • Middletown, NY
  • NPI 1457874489
  NPD (past)

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1376870428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DOLSON AVE STE G100",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406572",
            "telephone_number": "845-342-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DOLSON AVE STE G100",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-342-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARY",
        "first_name": "CECILIA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Martino
• Martins Foods of South Burlington LLC
• Stephanie Elaine Martir
• Richard M Martirosian, D.O.
• Mary Lerouge LCSW PLLC
• Michael Max Mascola, DO
• Christine Masella
• Andrea Mason
• Naomi A Mason, BA, OSC
• Phillip Langston Massengill, M. D.

• Physical Therapist in Middletown, NY
• Providers in Middletown, 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 12, 2018; 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.