Michael John Mauro, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT030018 Issued in PA

Practice address

6000 W Ridge Rd Ste a
Erie, PA 16506-1040

Phone

(814) 315-3998

Fax

(814) 315-2557

NPI assigned

Sep 2, 2020

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Penn Therapeutics and Physical Therapy, Inc

  • Specialist
  • Corry, PA
  • NPI 1083612048
  NPD (past)

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1801400213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 BURGUNDY DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165065205",
            "telephone_number": "814-315-3998",
            "fax_number": "814-315-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W RIDGE RD STE A",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061040",
            "telephone_number": "814-315-3998",
            "fax_number": "814-315-2557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 E Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Corry",
            "state": "PA",
            "postal_code": "164079014",
            "country_code": "US",
            "telephone_number": "814-664-9346",
            "fax_number": "814-663-0169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046035",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis S Mattera, L.C.S.W.
• Carolyn M Matthews, PA-C
• Tonya Matthews
• Lawrence James Keith Mattingly, RN
• Kathleen Mary Mattocks, RN
• Rachel Shopene Mauro, DPT
• Maxim Healthcare Services, Inc.
• Maximal Gain Chiropractic Center, PLLC
• Heidi Marie Maxwell
• Alan J May, LCSW

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.