Mary Lynne Bisone, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32625 Issued in FL

Practice address

4630 17TH St
Sarasota, FL 34235-1843

Phone

(941) 487-5400

Fax

(941) 487-5430

NPI assigned

Jul 22, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Luvbugs Pediatric Physical Therapy

  • Pediatric Physical Therapist
  • Venice, FL
  • NPI 1154182533

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1700041480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 17TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342351843",
            "telephone_number": "941-487-5400",
            "fax_number": "941-487-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 17TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342351843",
            "telephone_number": "941-487-5400",
            "fax_number": "941-487-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Sweet Home Rd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142261444",
            "country_code": "US",
            "telephone_number": "716-836-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Commercial Ct Ste F",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342921650",
            "country_code": "US",
            "telephone_number": "941-485-0121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "737 Delaware Ave",
            "address_2": "Suite 216",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142092260",
            "country_code": "US",
            "telephone_number": "716-886-3371 x302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISONE",
        "first_name": "MARY LYNNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "PT32625",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "08351-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "PT32625",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "1982739819",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021882200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022608000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Birthways Midwifery Care, Inc (Birthways Family Birth Center)
• Michelle Lynne Bischofberger, MS
• Lindsay Rebecca Jo Bisel, APRN
• Danielle Bishop, LMHC, NCC
• Kathryn Lynn Bishop, ARNP
• Margaret Rose Bitter, OT
• Robin M. Bixler, DO
• Bizzoom, Inc. (Fyzical)
• Bja Incorporated (BioSerenity; Comprehensive Sleep Disorder Center)
• BL Horvat MD & Associates, Inc

• Physical Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.