Sandra Mahoney, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13477 Issued in FL

Practice address

2257 Nuremberg Blvd
Punta Gorda, FL 33983-2649

Phone

(941) 255-1891

Fax

(941) 255-1891

NPI assigned

Sep 20, 2005

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Charlotte Workers Comp Injury Center Inc

  • Massage Therapist
  • Punta Gorda, FL
  • NPI 1982699807

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1871589424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 NUREMBERG BLVD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339832649",
            "telephone_number": "941-255-1891",
            "fax_number": "941-255-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 NUREMBERG BLVD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339832649",
            "telephone_number": "941-255-1891",
            "fax_number": "941-255-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "SANDRA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT13477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0365",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Spinn LLC
• Kristen Irene Macchiarolo, COTA/L
• Bruce D Macdonald, M.D.
• William Machnicz
• Joseph J Maggiore, D.D.S.
• Hannah Marie Manczka, MS, OTR/L
• Sukdai Mangru, CNM
• Manila Physical Therapy , Inc
• Manuel H Hernandez M D P a
• Sammy Dallas Maples, PHARMD

• Physical Therapist in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.