Richard Anthony Mauro, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24674 Issued in FL

Practice address

19104 Cypress Green Dr
Lutz, FL 33558-9757

Phone

(813) 597-8985

Fax

(813) 436-8700

NPI assigned

Apr 9, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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.

• Great Strides Physical Therapy LLC

  • Physical Therapist
  • Lutz, FL
  • NPI 1730409897
  NPD Authorized official
• Leading Edge Rehabilitation Inc.

  • Physical Therapist
  • Odessa, FL
  • NPI 1114649605
  NPD Authorized official

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1386817542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19104 CYPRESS GREEN DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335589757",
            "telephone_number": "813-597-8985",
            "fax_number": "813-436-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19104 CYPRESS GREEN DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335589757",
            "telephone_number": "813-597-8985",
            "fax_number": "813-436-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURO",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009292",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019287",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred B Matos Cordero
• Ian Marcos Matosdeaza, PHARMD
• Matthew Acton DO PLLC
• Kathiria Michelle Maunez Mendoza, MSW
• Sandy Maurell Montero
• Curtis Mavor, LCSW
• Maxxycom Investment Corp
• Ann Maynard Payne
• Tamara Lea Maynard, APRN
• MC Medical LLC

• Physical Therapist in Lutz, FL
• Providers in Lutz, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.