Active NPI
Marian Elizabeth Maurin, P.T.
- Physical Therapist
- Tampa, FL
National Provider Identifier
1669460812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21754
- Practice address
- 1501 W Cleveland St
Ste 220
Tampa, FL 33606-1812 - Phone
- (813) 805-8105
- Fax
- (813) 254-3055
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21754 | FL | Primary |
Addresses
Primary practice location
1501 W Cleveland St
Ste 220
Tampa, FL 33606-1812
Mailing address
3820 Northdale Blvd
Ste 302B
Tampa, FL 33624-1863
Phone (813) 418-7350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y070R | Other | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation, Inc. | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Optimal Performance and Physical Therapies Northdale LLC | Physical Therapist | Past | Accepting new patients |
| Active Life Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Pro-Active Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Physical Therapist
- Lutz, FL
- NPI 1275863946
-
- Physical Therapy Clinic/Center
- Tampa, FL
- NPI 1881610046
-
dba Optimal Performance and Physical Therapies Citrus Park
- Physical Therapy Clinic/Center
- Tampa, FL
- NPI 1093399347
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
- Physical Therapy Clinic/Center
- Tampa, FL
- NPI 1881682078
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1669460812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 NORTHDALE BLVD",
"address_2": "STE 302B",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241863",
"telephone_number": "813-418-7350",
"fax_number": "813-265-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 W CLEVELAND ST",
"address_2": "STE 220",
"city": "TAMPA",
"state": "FL",
"postal_code": "336061812",
"telephone_number": "813-805-8105",
"fax_number": "813-254-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURIN",
"first_name": "MARIAN",
"middle_name": "ELIZABETH",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y070R",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.