Angela Marino, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT112594 Issued in TX

Practice address

1125 Blackbird CT
Burleson, TX 76028-0602

Phone

(817) 295-2484

NPI assigned

Mar 30, 2013

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Medical Technician

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.

• Optimizing Therapy Solutions

  • Occupational Therapist
  • Burleson, TX
  • NPI 1194023499
  NPD (past)

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364601600000",
    "number": "1477896223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W ELLISON ST",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284246",
            "telephone_number": "817-933-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BLACKBIRD CT",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760280602",
            "telephone_number": "817-295-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "ANGELA",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-30",
        "last_updated": "2013-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT112594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirla Guevarra Manito-Hugo, MD
• Michael Manley, LPC-ASSOCIATE
• Cyrus Manoucheri, MD
• Shadan Mansoor, M.D.
• Shandra Dawn Maples-Eakes, LCSW
• Randy L. Markum, D.C.
• Marqmed PLLC
• Marqmed PLLC
• Precious J Marquart, M.D.
• Wesley Marquart, M.D.

• Massage Therapist in Burleson, TX
• Providers in Burleson, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2013; 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.