Marlene Mayman, L.M.T., C.M.T.

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

M05146 Issued in MD

Practice address

129 W Patrick St Ste 4
Frederick, MD 21701-5682

Phone

(240) 487-9387

NPI assigned

Sep 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1801297619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 WILLOWDALE DR",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434058",
            "telephone_number": "304-283-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W PATRICK ST STE 4",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015682",
            "telephone_number": "240-487-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYMAN",
        "first_name": "MARLENE",
        "credential": "L.M.T., C.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "VA",
            "license": "0019006932",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WV",
            "license": "2013-3105",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MD",
            "license": "M05146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Maundu, PHARM.D.
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• Christianna Joyce Mayberry, MSN- DCNP
• Robert H. Mayernik, M.D.
• Ebony Tagua Hidie Maynard, LCSW-C
• Jill L Maynes, LMSW
• Sheila N Mazhari, DMD
• Mazin Alayssami DMD and Assoc PC (Amber Dental Associates)
• Mark Mazin

• Mechanotherapist in Frederick, MD
• Providers in Frederick, MD by specialty
• Mechanotherapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.