Katrina Marie Mamuzich, AAS, PTA, COPTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A4324 Issued in MD

Practice address

485 Ritchie Hwy Ste 202
Severna Park, MD 21146-2918

Phone

(410) 960-1601

NPI assigned

Aug 17, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Applied Science

State licenses

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1750992350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 WYCLIFFE RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212346237",
            "telephone_number": "610-730-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 RITCHIE HWY STE 202",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462918",
            "telephone_number": "410-960-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMUZICH",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AAS, PTA, COPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "A4324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lynchphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "Lynch PT",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "physical therapy EMR notes",
            "address_1": "485 Ritchie Hwy Ste 202",
            "city": "Severna Park",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211462918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Farida Alif Manejwala, PT
• Anthony Silivio Manganelli, D.C.
• David Everett Mank, LCPC
• Sara Manno, RDH

• Physical Medicine & Rehabilitation Physician in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

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