Louis A. Mazakas, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305205370 Issued in VA

Practice address

44 Broad Street Rd
Manakin Sabot, VA 23103-2213

Phone

(804) 784-7090

Fax

(804) 784-7092

NPI assigned

Jul 18, 2006

Last updated

Apr 26, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.16 of 100Reported as group

Quality

85.78

Promoting interoperability

99

Improvement activities

40

Cost

75.6

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4

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.

• Tidewater Physical Therapy, LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1457389595
  Medicare reassignment Care Compare group NPD
• Tidewater Physical Therapy, LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Roanoke, VA
  • NPI 1437664356
  NPD
• Good Shepherd Rehabilitation Hospital

  • Rehabilitation Hospital
  • Center Valley, PA
  • NPI 1255374799
  NPD (past)
• Krpata Sports Therapy, Inc.

  • Physical Therapist
  • Carmel, CA
  • NPI 1578582763
  NPD (past)
• Performance Physical Therapy and Sports Conditioning, Inc

  dba Perfromance Physical Therapy

  • Physical Therapy Clinic/Center
  • Monterey, CA
  • NPI 1891726279

  Physical Therapist

  NPD (past)
• Pottsville Area Physical Therapy Services P.C.

  • Physical Therapist
  • Pottsville, PA
  • NPI 1336109826
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1811915432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69030",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649030",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BROAD STREET RD",
            "city": "MANAKIN SABOT",
            "state": "VA",
            "postal_code": "231032213",
            "telephone_number": "804-784-7090",
            "fax_number": "804-784-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZAKAS",
        "first_name": "LOUIS",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Susan Lanning, OTRL
• Leslie S. Taylor, DDS, PC
• Pamela Herman Lichtman, D.D.S.
• Julia Marzec, SLP
• Nancy None Mattox, LCSW
• Caroline Moore, PTA
• Peter Murchie, D.D.S.
• MVP Consulting
• Deborah Jane Orr, SPEECH THERAPIST
• Anthony Payne

• Physical Therapist in Manakin Sabot, VA
• Providers in Manakin Sabot, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.