Active NPI
Jacob Andrew Mauersberg, MT-BC
- Music Therapist
- Philadelphia, PA
National Provider Identifier
1497222491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 14675
- Practice address
- 1433 Poplar St
Philadelphia, PA 19130-1669 - Phone
- (301) 848-3962
- NPI assigned
- Oct 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 14675 | PA | Primary |
Addresses
Primary practice location
1433 Poplar St
Philadelphia, PA 19130-1669
Mailing address
1433 Poplar St
Philadelphia, PA 19130-1669
Phone (301) 848-3962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14675 | PA | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musicworks | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729900800000",
"number": "1497222491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 POPLAR ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191301669",
"telephone_number": "301-848-3962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 POPLAR ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191301669",
"telephone_number": "301-848-3962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUERSBERG",
"first_name": "JACOB",
"middle_name": "ANDREW",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-28",
"last_updated": "2024-10-26",
"certification_date": "2024-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Music Therapist",
"state": "PA",
"license": "14675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.