Marina A. Mitry-Hana, DPT, OTR/L

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34562 Issued in FL

Practice address

1717 North Clyde Morris Blvd.
Suite 140
Daytona Beach, FL 32117

Phone

(386) 257-2672

Fax

(386) 252-1005

NPI assigned

May 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Thomas Center for Physical TherapyGroup PAC ID 2163899915, 2 clinicians

Practice addresses (Care Compare)

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.

• Thomas Center for Physical Therapy

  • Physical Therapist
  • Daytona Beach, FL
  • NPI 1538265152
  Medicare reassignment Care Compare group
• Mobile Therapy Services LLC

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1134768948
  Medicare reassignment NPD
• Barr & Associates Physical Therapy,LLC

  • Clinic/Center
  • Ormond Beach, FL
  • NPI 1801072517
  Medicare reassignment

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1972160356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 NORTH CLYDE MORRIS BLVD.",
            "address_2": "SUITE 140",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-257-2672",
            "fax_number": "386-252-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 NORTH CLYDE MORRIS BLVD.",
            "address_2": "SUITE 140",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-257-2672",
            "fax_number": "386-252-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRY-HANA",
        "first_name": "MARINA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DPT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18823",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imran Humayun Mirza, MD
• Chiffon Mitchell
• Emanie Mitchell
• Karen Mitchell, MSW
• Samantha Mitchell
• Mja Healthcare of Florida, PC
• Mobile Counseling Services LLC
• Mobile Visiting Practitioners, LLC
• Kohei Mochizuki, LMHC
• Andrew Joseph Moffatt, MA, ATC, LAT

• Physical Therapist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.