Matthew Maraia, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047711-01 Issued in NY

Practice address

465 Columbus Ave Ste 130
Valhalla, NY 10595-1376

Phone

(914) 741-2850

Fax

(914) 741-2851

NPI assigned

Sep 28, 2021

Sex

Male

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Stony Brook, School of Medicine, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Proactive Physical Therapy and Sports Rehabilitation PLLCGroup PAC ID 7719950120, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Proactive Physical Therapy & Sports Rehabilitation, PLLC

  • Physical Therapy Clinic/Center
  • Valhalla, NY
  • NPI 1821125147
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1649942723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 COLUMBUS AVE STE 130",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951376",
            "telephone_number": "914-741-2850",
            "fax_number": "914-741-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 COLUMBUS AVE STE 130",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951376",
            "telephone_number": "914-741-2850",
            "fax_number": "914-741-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAIA",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047711-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Maniscalco, M.S.,CCC SLP
• David Mann
• Harjot Singh Mann, DO
• Lauren Manniello, PHYSICIAN ASSISTANT
• Toni Manougian, M.D.
• Angelica Mares, MD
• Karen Marin
• Snigdha Marivada
• Eva Marku, PA-C
• Monica Renee Marmer, MD

• Physical Therapist in Valhalla, NY
• Providers in Valhalla, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.