Active NPI
Marielyne P Cuomo, L/PTA
- Physical Therapy Assistant
- New Port Richey, FL
National Provider Identifier
1689965972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA16361
- Practice address
- 8050 Old CR 54
New Port Richey, FL 34653-6457 - Phone
- (727) 375-0600
- Fax
- (727) 375-1117
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | PTA16361 | FL | Primary |
Addresses
Primary practice location
8050 Old CR 54
New Port Richey, FL 34653-6457
Mailing address
9800 Balsaridge CT
Trinity, FL 34655-4913
Phone (727) 376-6331
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA16361 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Can DO Kids Inc | Past | Accepting new patients | |
| Diane Davis PA | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1689965972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 BALSARIDGE CT",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554913",
"telephone_number": "727-376-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 OLD CR 54",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346536457",
"telephone_number": "727-375-0600",
"fax_number": "727-375-1117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUOMO",
"first_name": "MARIELYNE",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "L/PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA16361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.