Johanna Paz Mamaril, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5970 Issued in NM

Practice address

2301 Golf Course Rd SE Ste 245
Rio Rancho, NM 87124-4971

Phone

(978) 618-7500

Fax

(760) 321-7277

NPI assigned

Oct 16, 2006

Last updated

Dec 29, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Rehab, Inc.

  dba Advance Physical Therapy

  • Physical Therapy Clinic/Center
  • Redlands, CA
  • NPI 1588614788

  Physical Therapist

  NPD (past) Authorized official
• Quantum Healthcare Inc

  dba Quantum Physical Therapy

  • Physical Therapy Clinic/Center
  • Rancho Mirage, CA
  • NPI 1902056518

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1598845745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 GOLF COURSE RD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244971",
            "fax_number": "760-321-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 GOLF COURSE RD SE STE 245",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244971",
            "telephone_number": "978-618-7500",
            "fax_number": "760-321-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMARIL",
        "first_name": "JOHANNA",
        "middle_name": "PAZ",
        "name_prefix": "Miss",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29464",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "5970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Making an Impact LLC (Icarus Behavioral Health)
• Daniel Maldonado, BMS
• Jovanna Maldonado
• Imtiaz A Malik, PA-C
• Umar Malik
• Kevin Mancini, LMFT
• Ronit Mandelkern
• Sarah Manik, RN
• Patricia Arielle Corpuz Manio, PA
• Margaret Ann Manno, M.S.

• Physical Therapist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.