Active NPI
Anthony Marziano Jr., MPT
- Physical Therapist
- Wynnewood, PA
National Provider Identifier
1861499345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006241L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006241L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony Marziano Jr BSC MPT PC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Wynnewood, PA
- NPI 1437156817
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.