Individual provider Active NPI

Maria M Senette, P.T.

  • Specialist
  • Covington, LA
National Provider Identifier
1861547358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 07097 Issued in LA
Practice address
340 Falconer Dr
Covington, LA 70433-8204
Phone
(985) 893-2845
Fax
(985) 893-2654
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT 07097 LA Primary

Addresses

Primary practice location

340 Falconer Dr
Covington, LA 70433-8204

Mailing address

503 Brewster Rd
Madisonville, LA 70447-9587
Phone (985) 960-3717

Other identifiers 1

IdentifierTypeStateIssuer
PT 07097OtherLAPT LICENSE

Other names 1

  • Ms. Maria T Marino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 07097LAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861547358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 BREWSTER RD",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479587",
            "telephone_number": "985-960-3717",
            "fax_number": "985-893-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FALCONER DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338204",
            "telephone_number": "985-893-2845",
            "fax_number": "985-893-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENETTE",
        "first_name": "MARIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "PT 07097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT 07097",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "MARINO",
            "middle_name": "T",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.