Individual provider Active NPI

Mara Mladenovski

  • Occupational Therapist
  • Bakersfield, CA
National Provider Identifier
1932931003
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23701 Issued in CA
Practice address
5337 Truxtun Ave
Bakersfield, CA 93309-0641
Phone
(661) 324-0122
NPI assigned
Aug 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 23701 CA Primary

Addresses

Primary practice location

5337 Truxtun Ave
Bakersfield, CA 93309-0641

Mailing address

250 S Heath Rd Apt 2017
Bakersfield, CA 93314-4804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911003314 CA Practitioner - Occupational Therapist in Private Practice 0446790877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pair and Marotta Physical Therapy IncGroup PAC ID 5698782993, 12 clinicians

Practice addresses (Care Compare)

5337 Truxtun Ave
Bakersfield, CA 93309-0641
Phone (661) 324-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23701CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pair & Marotta Physical Therapy, Inc. CurrentSince Aug 15, 2024 Accepting new patients
Pair & Marotta Physical Therapy, Inc. CurrentSince Aug 15, 2024 Accepting new patients

Locations

5337 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 324-0122

Organizations & group practices 2

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": "1723852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1932931003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S HEATH RD APT 2017",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933144804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090641",
            "telephone_number": "661-324-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLADENOVSKI",
        "first_name": "MARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; 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.