Brian F Mara, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8398 Issued in NC

Practice address

612B McCarthy Blvd
New Bern, NC 28562-5231

Phone

(252) 635-1788

Fax

(252) 635-3053

NPI assigned

Feb 2, 2006

Last updated

Feb 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Southern California Keck School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Craven Physical Therapy and Spine IncGroup PAC ID 0446331433, 7 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.

• Craven Physical Therapy & Spine, Inc

  • Specialist
  • New Bern, NC
  • NPI 1730374810

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Coastal Orthopaedics & Spinal Surgery PA

  • Orthopaedic Surgery Physician
  • New Bern, NC
  • NPI 1114110509

  Physical Therapist

  Medicare reassignment NPD
• Coastal Orthopaedics and Spinal Surgery, PA

  • Orthopaedic Surgery Physician
  • New Bern, NC
  • NPI 1003174483

  Physical Therapist

  NPD (past)
• Jacksonville Peak Performance Sports & Physical Therapy, L.L.C.

  • Specialist
  • Jacksonville, NC
  • NPI 1164482402
  NPD (past)
• Peak Performance Sports and Physical Therapy, LLC

  • Physical Therapist
  • New Bern, NC
  • NPI 1194714063
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1861464976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612B MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625231",
            "telephone_number": "252-635-1788",
            "fax_number": "252-635-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612B MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625231",
            "telephone_number": "252-635-1788",
            "fax_number": "252-635-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARA",
        "first_name": "BRIAN",
        "middle_name": "F",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211374",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "128A9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Malsch, OTR/L
• Jennie Craig Mangun, MD
• James Joseph Manley, M.D.
• Rebecca Anne Manning, FNP
• Kathy Dodge Mansfield, LPC LCAS CCS
• Margot Marcantonio
• Jason Marcello, RRA
• Sharon Marion
• Angela Marlowe, MS, MFTA
• Taylor Marotta, OTRL

• Physical Therapist in New Bern, NC
• Providers in New Bern, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.