Bruce A Mazur, PT DC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2379 Issued in NM

Practice address

1401 Maclovia
Suite G
Santa Fe, NM 87505

Phone

(505) 471-0818

Fax

(505) 471-0822

NPI assigned

Aug 4, 2005

Last updated

Jul 8, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy Solutions LLCGroup PAC ID 1658473624, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

24.58 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

81.93

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Therapy Solutions LLC

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
  • NPI 1285736751
  Medicare reassignment Care Compare group
• Santa Fe Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
  • NPI 1417115999
  Authorized official Same address or phone

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386645943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 RIO VISTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87501",
            "telephone_number": "505-470-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MACLOVIA",
            "address_2": "SUITE G",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-471-0818",
            "fax_number": "505-471-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "BRUCE",
        "middle_name": "A",
        "credential": "PT DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NM REG. AND LIC.",
            "identifier": "2379",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM000651",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorissa Ann Mayberry
• Anne N Mayer, PA-C
• Anthony W Mayfield, DDS
• Danny M Mays, PA-C
• Glenda Mazon, LMSW
• Craig Thomas McAdams
• Lyndsey Megan McAdams, LPCC
• Cynthia A McAlpin, FNP
• Aileen McAteer, LCSW
• Donald Francis McAvinchey, MSW, LISW

• Physical Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physical Therapist in New Mexico

• 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.
• 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.