Kimberly A Mariotti, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

010541-01 Issued in NY

Practice address

131 Lawrence St
Saratoga Springs, NY 12866-1346

Phone

(518) 587-3000

NPI assigned

Nov 2, 2020

Last updated

Nov 2, 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1518568039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 BURGOYNE RD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665493",
            "telephone_number": "518-265-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 LAWRENCE ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661346",
            "telephone_number": "518-587-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIOTTI",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "010541-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Ann Manss, RPH
• Manuel Astruc, MD, PLLC (Saratoga Psychiatric TMS)
• Manuel Astruc, MD, PLLC
• Laurie A Manzione, MD
• Allison Marinucci, LMSW
• Marisa Wolff DO PLLC (Wolff Dermatology)
• Marker 28 LLC
• Kimberly L Marks, LCSW
• Kevin Martin, M.D.
• Michael Martin, PSYD

• Physical Therapy Assistant in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.