Mandy Maryanski

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20398 Issued in MA

Practice address

1 Widger Rd
Marblehead, MA 01945-2146

Phone

(781) 631-8250

Fax

(781) 639-2060

NPI assigned

Feb 14, 2013

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

Other names 1

• Mandy Correale Former name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harmeling Physical Therapy and Sports Fitness IncGroup PAC ID 8123917929, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Harmeling Physical Therapy & Sports Fitness, Inc.

  • Physical Therapist
  • Danvers, MA
  • NPI 1306823653
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1447599253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WIDGER RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452146",
            "telephone_number": "781-631-8250",
            "fax_number": "781-639-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WIDGER RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452146",
            "telephone_number": "781-631-8250",
            "fax_number": "781-639-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARYANSKI",
        "first_name": "MANDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "CORREALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark a Lewis, MD
• Betsy A Mark, LIC. AC.
• Marla P. Meyer, Licsw LLC
• Lisa Marques, PHARMD
• Julie Martinez, MD
• Rita Matlis, PHARMACIST
• Kelly Ann McAdams, LICSW
• Jessica McConnell
• Roxann McFarlane
• Deanna Marie McMahon, FNP-C

• Physical Therapist in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.