Individual provider Active NPI

Marc Joseph Mazur, PT

  • Physical Therapist
  • Niagara Falls, NY
National Provider Identifier
1811970320
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027691 Issued in NY
Practice address
2111 Sawyer Dr
Niagara Falls, NY 14304-2975
Phone
(716) 731-2195
Fax
(716) 731-4862
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 027691 NY Primary

Addresses

Primary practice location

2111 Sawyer Dr
Niagara Falls, NY 14304-2975

Mailing address

2111 Sawyer Dr
Niagara Falls, NY 14304-2975
Phone (716) 731-2195

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000500 NY Practitioner - Physical Therapist in Private Practice 0446265706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lingle and Mazur Physical Therapy PCGroup PAC ID 7315105152, 6 clinicians

Practice addresses (Care Compare)

2111 Sawyer Dr
Niagara Falls, NY 14304-2975
Phone (716) 731-2195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027691NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lingle & Mazur Physical Therapy, PC Physical Therapist CurrentSince Jan 3, 2012 Accepting new patients

Locations

2111 Sawyer Dr
Niagara Falls, NY 14304
Phone (716) 298-3504

Interoperability endpoints

  • Direct secure messaging: marcmazur@duboispt.medentdirect.com

Organizations & group practices 1

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811970320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SAWYER DR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042975",
            "telephone_number": "716-731-2195",
            "fax_number": "716-731-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 SAWYER DR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042975",
            "telephone_number": "716-731-2195",
            "fax_number": "716-731-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "MARC",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.