Marianne Peznola, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8705 Issued in MA

Practice address

39 Cinema Blvd
Leominster, MA 01453-3290

Phone

(978) 466-6677

Fax

(978) 466-1133

NPI assigned

Dec 15, 2009

Last updated

Oct 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marriane Tarsa Former name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connections Physical Therapy, Inc.Group PAC ID 3577456623, 88 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connections Physical Therapy Inc

  • Physical Therapist
  • Wellesley, MA
  • NPI 1699752931
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1750610119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CYPRESS ST",
            "address_2": "STE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456777",
            "telephone_number": "617-860-6430",
            "fax_number": "617-860-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CINEMA BLVD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533290",
            "telephone_number": "978-466-6677",
            "fax_number": "978-466-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZNOLA",
        "first_name": "MARIANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARRIANE",
            "last_name": "TARSA",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jared D Perry, MSW
• M Joyce Persson, BCBA
• Karen E. Peterson, NP
• Tawnya Peterson, LMHC
• David J Petullo, MD
• Yves Phaeton
• Amee Phan, DO
• Elizabeth Philbin, R.N.
• Lisa Phillips, M.S.
• Carrie Piedad, RN

• Physical Therapist in Leominster, MA
• Providers in Leominster, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.