Individual provider Active NPI

Alison Mazzatelli, DPT

  • Physical Therapist
  • Palm Coast, FL
National Provider Identifier
1699737999
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35983 Issued in FL
Practice address
50 Plaza Dr Ste 104
Palm Coast, FL 32137-8549
Phone
(386) 447-5447
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA01148700 NJ
Physical Therapist 225100000X 35983 FL Primary

Addresses

Primary practice location

50 Plaza Dr Ste 104
Palm Coast, FL 32137-8549

Mailing address

825 White Eagle Cir
St Augustine, FL 32086-5043
Phone (609) 276-3240

Other practice location 1

44 Nautilus Dr
1st Floor
Manahawkin, NJ 08050-2466
Phone (609) 978-1001

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

State licenses

LicenseStateTypeSpecialty
35983FLMDPhysical Therapist
QA01148700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services, Inc PastSince Sep 20, 2020 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
Cora Health Services Inc PastSince Sep 20, 2020 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1699737999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WHITE EAGLE CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865043",
            "telephone_number": "609-276-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PLAZA DR STE 104",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378549",
            "telephone_number": "386-447-5447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Nautilus Dr",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502466",
            "country_code": "US",
            "telephone_number": "609-978-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZATELLI",
        "first_name": "ALISON",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA01148700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "35983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.