Mandy Leigh Massarella, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT15155 Issued in FL

Practice address

6343 Via de Sonrisa del Sur
Boca Raton, FL 33433-8211

Phone

(561) 392-5940

NPI assigned

Apr 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1710568142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 ACORN DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872102",
            "telephone_number": "561-988-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 VIA DE SONRISA DEL SUR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334338211",
            "telephone_number": "561-392-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARELLA",
        "first_name": "MANDY",
        "middle_name": "LEIGH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Masangkay, M.D.
• Anjali Mary Mascarenhas Noble, D.O.
• Janna Mashenskaya, DPT
• Jillian Mason
• Massage Therapy LLC
• Heraldine Jesah Rous Massari
• Kathy L Masseo
• Diane J Massucci, DNP, ANP-BC
• Master It Behavior Therapy of Florida
• Lori Masterson, M.S., PA-C

• Physical Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; 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.