Individual provider Active NPI

Anthony Marziano Jr., MPT

  • Physical Therapist
  • Wynnewood, PA
National Provider Identifier
1861499345
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006241L Issued in PA
Practice address
1410 Manoa Rd
Wynnewood, PA 19096-3208
Phone
(610) 896-9000
Fax
(610) 896-4385
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT006241L PA Primary
Cardiopulmonary Physical Therapist 2251C2600X PT006241L PA
Ergonomics Physical Therapist 2251E1200X PT006241L PA
Clinical Electrophysiology Physical Therapist 2251E1300X PT006241L PA
Geriatric Physical Therapist 2251G0304X PT006241L PA
Hand Physical Therapist 2251H1200X PT006241L PA
Neurology Physical Therapist 2251N0400X PT006241L PA
Pediatric Physical Therapist 2251P0200X PT006241L PA
Sports Physical Therapist 2251S0007X PT006241L PA
Orthopedic Physical Therapist 2251X0800X PT006241L PA

Addresses

Primary practice location

1410 Manoa Rd
Wynnewood, PA 19096-3208

Mailing address

237 Talbot Dr
Broomall, PA 19008-3728
Phone (610) 356-4666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000527 PA Practitioner - Physical Therapist in Private Practice 9335178938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT006241LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Marziano Jr BSC MPT PC Physical Therapist CurrentSince Nov 1, 1998 Accepting new patients

Locations

1404 Manoa Rd
Wynnewood, PA 19096
Phone (484) 443-3673

1410 Manoa Rd
Wynnewood, PA 19096
Phone (610) 896-9000

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1861499345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 TALBOT DR",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083728",
            "telephone_number": "610-356-4666",
            "fax_number": "610-896-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 MANOA RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963208",
            "telephone_number": "610-896-9000",
            "fax_number": "610-896-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZIANO",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006241L",
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "PA",
            "license": "PT006241L",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "PA",
            "license": "PT006241L",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "PA",
            "license": "PT006241L",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT006241L",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "PA",
            "license": "PT006241L",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "PA",
            "license": "PT006241L",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT006241L",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "PA",
            "license": "PT006241L",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT006241L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.