Audrey Lynn Mazza, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01735300 Issued in NJ

Practice address

570 Egg Harbor Rd Ste B6
Sewell, NJ 08080-2359

Phone

(856) 218-8050

NPI assigned

Jul 31, 2017

Last updated

Jul 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Gloucester County Special Services School District

  dba CRESS Therapy Services

  • Occupational Therapist
  • Sewell, NJ
  • NPI 1649948126

  Physical Therapist

  Medicare reassignment NPD
• Rehabclinics SPT Inc

  dba Novacare Rehabilitation

  • Physical Therapy Clinic/Center
  • Manahawkin, NJ
  • NPI 1043271216
  NPD (past)
• Robert J Romalino PT, PC

  dba Advanced Physical Therapy of South Jersey

  • Specialist
  • Williamstown, NJ
  • NPI 1467628149
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1811411044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 EGG HARBOR RD STE B6",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802359",
            "telephone_number": "856-218-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 EGG HARBOR RD STE B6",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802359",
            "telephone_number": "856-218-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "AUDREY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01735300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Massari, PHARMD
• Michael J Master, D.C., D.A.C.N.B.
• Jamie Nicole Matteo-Schienholtz, MS, CCC-SLP
• Gregory Mattoccia, PT, DPT
• Pamela Jean Mayfield, DOCTOR OF PHARMACY
• MBPS Enterprises
• Courtney McAnally, CRNP
• Julia Christine McCarthy
• John James McCarty, D.M.D.
• Meredith A McClain, LCSW

• Physical Therapist in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; 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.