Mary Beth Mazza, MPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

05008522A Issued in IN

Practice address

1185 W Carmel Dr BLDG C
Carmel, IN 46032-8708

Phone

(317) 415-6980

NPI assigned

Oct 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Play on Physical TherapyGroup PAC ID 2062898414, 3 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 and National Provider Directory roles.

• Play on Physical Therapy

  • Orthopedic Physical Therapist
  • Fishers, IN
  • NPI 1720713209
  Medicare reassignment Care Compare group NPD
• St. Vincent Hospital & Health Care Center, Inc.

  • Community/Retail Pharmacy
  • Indianapolis, IN
  • NPI 1194929646
  NPD (past)

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1780134957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 W CARMEL DR BLDG C",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 W CARMEL DR BLDG C",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328708",
            "telephone_number": "317-415-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "MARY BETH",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05008522A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008522A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayflower Communities Inc.
• Antonia Danielle Mayhew, CNM
• Nicholas Mayhew
• Arthur Stanley Maynard III, MD
• Jill Suzanne Mazurek, M.D.
• Ashleigh Peyton McAfee, PT, MHS
• Kortney K McAtee, CCC-SLP
• Elizabeth C McCabe, MS, LAT, ATC
• Kevin C McCallum, MD
• Shannon McCanna, M.D.

• Orthopedic Physical Therapist in Carmel, IN
• Providers in Carmel, IN by specialty
• Orthopedic Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.