Thomas Raymond Mauro Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05015458A Issued in IN

Practice address

10787 Randolph St Ste 220
Winfield, IN 46307-7615

Phone

(219) 333-5900

Fax

(219) 359-2123

NPI assigned

Aug 7, 2018

Last updated

Mar 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

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  • NPI 1073981114
  NPD
• Benchmark Physical Therapy of VA, LLC

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  • Staunton, VA
  • NPI 1871063925
  NPD
• Drayer Physical Therapy Virginia, LLC

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1649742016
  NPD
• Drayer PT of VA LLC

  • Physical Therapist
  • Harrisonburg, VA
  • NPI 1093130346
  NPD
• Drayer PT of VA LLC

  • Physical Therapist
  • Harrisonburg, VA
  • NPI 1831514637
  NPD
• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755
  NPD
• Procare Physical Therapy Inc

  • Physical Therapist
  • Towanda, PA
  • NPI 1003876319
  NPD
• Drayer Physical Therapy Virginia, LLC

  • Physical Therapist
  • Stafford, VA
  • NPI 1457947707
  NPD (past)
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Englewood, CO
  • NPI 1265401897

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1790264273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416501 STE 140",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412401",
            "telephone_number": "910-294-4050",
            "fax_number": "631-760-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10787 RANDOLPH ST STE 220",
            "city": "WINFIELD",
            "state": "IN",
            "postal_code": "463077615",
            "telephone_number": "219-333-5900",
            "fax_number": "219-359-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W Hampden Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801102401",
            "country_code": "US",
            "telephone_number": "303-789-0772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9330 S University Blvd",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801265065",
            "country_code": "US",
            "telephone_number": "303-471-4506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURO",
        "first_name": "THOMAS",
        "middle_name": "RAYMOND",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21810",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215631",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27316",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027136",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019238",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015458A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gilbert, PT
• Janelle Golly, DPT
• Rebecca J Groen, FNP
• Van Huffine I, OT
• Joshua Patrick James, DPT
• Rosario Meza, NP-C
• Francis San Antonio
• Travis Lee Sharp, MPT
• Thrive Treatment Center, LLC

• Physical Therapist in Winfield, IN
• Providers in Winfield, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.