Margaret Mary Mazzola

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

508 W Corrington Ave
Peoria, IL 61604-2806

Phone

(309) 303-9295

NPI assigned

Dec 18, 2021

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

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

{
    "created_epoch": "1639785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1598425571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W CORRINGTON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042806",
            "telephone_number": "309-303-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W CORRINGTON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042806",
            "telephone_number": "309-303-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOLA",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-18",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Maurer, MD
• James W Maxey, M.D.
• Jessica Bree Mayhew, D.T.
• Kaylyn Maynard
• Latoya S Mays
• Danila L McAsey, M.S., CCC-SLP/L
• Laurie McAtee, CRNA
• Melissa Sue McAuley, MSW
• Zachary Robert McAvoy, PT, DPT
• Francis Joseph McBee-Orzulak, MD

• Developmental Therapist in Peoria, IL
• Providers in Peoria, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.