Mariska Charlene Truesdale, P.T., CFM

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Practice address

3909 Oleander Dr
Suite D
Wilmington, NC 28403-6730

Phone

(910) 619-4803

Fax

(910) 395-5773

NPI assigned

May 9, 2007

Last updated

Sep 13, 2013By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

• First Step Therapy, Inc.

  • Physical Therapist
  • Wilmington, NC
  • NPI 1902983794
  Medicare reassignment NPD Authorized official
• Wilmington Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Wilmington, NC
  • NPI 1881771640
  NPD Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1669686077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 PINE VALLEY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092596",
            "telephone_number": "910-619-4803",
            "fax_number": "910-395-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 OLEANDER DR",
            "address_2": "SUITE D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036730",
            "telephone_number": "910-619-4803",
            "fax_number": "910-395-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUESDALE",
        "first_name": "MARISKA",
        "middle_name": "CHARLENE",
        "credential": "P.T., CFM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "4979",
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacey Lee Trout, OTR/L
• Elisabeth Troy, LCSW
• Ashley Elizabeth Truax, RBT
• True Balance Therapy & Life Coaching
• True Connections Therapy, PLLC (True Connections Therapy)
• Irving Louis Trust, R.PH.
• Jill Tschekunow, MS, CCC-SLP
• John Tsung-Long Tseng, MD
• Tawny Tseng, FNP, PMHNP
• Tsi of Wilmington, LLC

• Mastectomy Fitter in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mastectomy Fitter in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.