Individual provider Active NPI

Jay A Mazaleski, P.T.

  • Physical Therapist
  • Marion, NC
National Provider Identifier
1801032263
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P6749 Issued in NC
Practice address
348 Grace Corpening Dr
Marion, NC 28752-5864
Phone
(828) 580-6821
Fax
(828) 580-6822
NPI assigned
Jan 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P6749 NC Primary

Addresses

Primary practice location

348 Grace Corpening Dr
Marion, NC 28752-5864

Mailing address

348 Grace Corpening Dr
Marion, NC 28752-5864
Phone (828) 580-6821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090209000676 NC Practitioner - Physical Therapist in Private Practice 7911062815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Sep 2, 2019 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Sep 2, 2019 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients

Locations

348 Grace Corpening Dr
Marion, NC 28752
Phone (828) 580-6821

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1801032263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 GRACE CORPENING DR",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525864",
            "telephone_number": "828-580-6821",
            "fax_number": "828-580-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 GRACE CORPENING DR",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525864",
            "telephone_number": "828-580-6821",
            "fax_number": "828-580-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZALESKI",
        "first_name": "JAY",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P6749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.