Individual provider Active NPI

Marisa Catherine Finazzo

  • Orthopedic Physical Therapist
  • Willoughby, OH
National Provider Identifier
1699523928
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
36060 Euclid Ave Ste 104
Willoughby, OH 44094-4661
Phone
(440) 942-1050
NPI assigned
May 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

36060 Euclid Ave Ste 104
Willoughby, OH 44094-4661

Mailing address

36065 Sherwood LN
Willoughby Hills, OH 44094-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614003638 OH Practitioner - Physical Therapist in Private Practice 5890238141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Orthopaedic Associates, Inc.Group PAC ID 1052361771, 10 clinicians

Practice addresses (Care Compare)

9500 Mentor Ave
Suite 210
Mentor, OH 44060-8714
Phone (440) 352-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Orthopaedic Associates, Inc. Current Accepting new patients
Lake Orthopaedic Associates, Inc. CurrentSince May 20, 2024 Accepting new patients

Locations

9500 Mentor Ave
Ste 210
Mentor, OH 44060
Phone (440) 352-0934

36060 Euclid Ave
Ste 104
Willoughby, OH 44094
Phone (440) 942-1050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBFBCA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1699523928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36065 SHERWOOD LN",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440948488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36060 EUCLID AVE STE 104",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944661",
            "telephone_number": "440-942-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINAZZO",
        "first_name": "MARISA",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.