Mary Joy Maravilla

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

070017719 Issued in IL

Practice address

1035 Madison St
Oak Park, IL 60302-4449

Phone

(708) 848-7200

NPI assigned

Aug 7, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1407401292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024449",
            "telephone_number": "708-848-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAVILLA",
        "first_name": "MARY JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IL",
            "license": "070017719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Manno, D.O.
• Viraja P Mantri, OTR
• Deborah C Manus, M.D.
• Kevin Maraizu, LCPC
• Nicolas Marangelli, LCSW
• Todd Marcheschi, MS/CCC/SLP/L
• Marcia Pavlou PHD PC
• Natalia Marczak, PT
• Iyla Margulius, OTR.L
• Mari Mortensen LCSW PLLC

• Geriatric Physical Therapist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Geriatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.