Mianie Jaro Macias, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070019561 Issued in IL

Practice address

275 E Army Trail Rd
Bloomingdale, IL 60108-2135

Phone

(630) 893-9616

NPI assigned

Jun 12, 2020

Last updated

Jun 12, 2020By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1407471634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LEXINGTON LN",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082104",
            "telephone_number": "312-810-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E ARMY TRAIL RD",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082135",
            "telephone_number": "630-893-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "MIANIE",
        "middle_name": "JARO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc. (Sears Optical #1275)
• M&Copticalofillinois
• Jackie Macalindong, AGNP-C
• Jodi L Macaluso, MA LCPC CADC
• Tehneiyat Macci, O.D.
• John C Mackenbach
• Tunisia Macklin, LMT
• Emily Magazzu, LPC
• Francis Anthony Maggio, LCSW
• Chloe Mariel Maghinang, MS, CCC-SLP

• Physical Therapist in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.