Mandy Leigh Massarella, PT
Physical Therapist in Boca Raton, FL. Individual provider (NPI-1).
NPI number1710568142
StatusActive
Last updated in NPPESApr 17, 2021
Details
- NPI
- 1710568142
- Entity type
- Individual (NPI-1)
- Name
- Mandy Leigh Massarella
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2021
- Certification date
- Apr 17, 2021
- Last updated
- Apr 17, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT15155 | FL | Yes |
Practice location
6343 Via De Sonrisa Del SurBoca Raton, FL 33433-8211
Phone 561-392-5940
Mailing address
4900 Acorn DrBoca Raton, FL 33487-2102
Phone 561-988-2019
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