Maryann Mancini, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008923 Issued in CT

Practice address

465 Wolcott Rd
Advanced Physical Therapy
Wolcott, CT 06716-2613

Phone

(203) 879-0107

Fax

(203) 879-0206

NPI assigned

Mar 12, 2010

Last updated

Sep 27, 2016By 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

Other identifiers 1

Other names 1

• Miss Maryann Pesic Former name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connect Physical Therapy LLCGroup PAC ID 2163792771, 16 clinicians

Practice addresses (Care Compare)

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.

• Connect Physical Therapy, LLC

  • Physical Therapist
  • Watertown, CT
  • NPI 1891221370
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Physical Therapy, LLC

  • Physical Therapist
  • Wolcott, CT
  • NPI 1861677262
  Medicare reassignment NPD
• All-Care Physical Therapy Center

  • Physical Therapist
  • Jackson, NJ
  • NPI 1013578269
  NPD (past)

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1841513207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LOOP RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067951561",
            "telephone_number": "609-618-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WOLCOTT RD",
            "address_2": "ADVANCED PHYSICAL THERAPY",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162613",
            "telephone_number": "203-879-0107",
            "fax_number": "203-879-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "MARYANN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "008923",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANN",
            "last_name": "PESIC",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Life's Precious Moments
• Catherine Lipscomb
• Terence Lott
• Hayley Love, MS, CCC-SLP
• Toivon A Maia
• Kaitlin Marcil, LPC
• Sean Thomas Marcil, CADC
• Jamie Mascolo, LCSW
• Matthew Mastropietro, PHARMD
• Kristine Elizabeth Matthews, PH.D.

• Physical Therapist in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.