MARYBETH DISANZA (NPI# 1740719269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740719269 |
| Entity Type | Individual |
| Full Name | MARYBETH DISANZA |
| Credential | PT |
| Practice Address |
3925 Sheridan Dr Amherst NY 14226-1738 |
| Mailing Address |
32 Ivy Bridge Way Rochester NY 14624-2480 |
| Practice Telephone | 7162506492 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
033389 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3925 SHERIDAN DR |
| City | AMHERST |
| State | NY |
| Zip Code | 14226-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448367 | Dale R Wheeler | Orthopaedic Surgery | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2005-06-23 |
| 1477160448 | Kelsey Stitt | Occupational Therapist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-09-24 |
| 1245845528 | Colleen Hannon | Occupational Therapist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-09-13 |
| 1205454485 | David Daniel Dyson | Specialist/Technologist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-07-14 |
| 1447875869 | Jenna Marie Toy | Physician Assistant | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-06-11 |
| 1245868207 | Nicholas Herbert Darling | Specialist/Technologist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-03-27 |
| 1689209918 | Kayla Rose Mansfield | Specialist/Technologist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-03-06 |
| 1275166324 | Nichole Becker | Physical Therapist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-02-18 |
| 1730724402 | Marlo Elizabeth Jarmusz | Physical Therapist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2019-11-16 |
| 1689215956 | Zachary Baker | Physical Therapist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2019-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1942846209 | Anthony Constance | Occupational Therapist | Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 | 2019-11-21 |
| 1730743931 | Mark Marcello | Physical Therapy Assistant | 4498 Main/harlem Rd Suite 24, Amherst, NY 14226 | 2019-04-24 |
| 1528531084 | Kimberly Girdlestone | Social Worker | 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 | 2019-01-08 |
| 1043781503 | Justin Patrick Nelson | Physical Therapist | 4498 Main St. Suite 24, Amherst, NY 14226 | 2018-12-10 |
| 1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
| 1790260982 | Orchard Park Dentalcare Pllc | Clinic/Center | 3302 Sheridan Dr, Buffalo, NY 14226 | 2018-10-03 |
| 1619472719 | Rapha Family Medical Wellness PC | Family Medicine | 3610 Main Street, Amherst, NY 14226 | 2018-03-29 |
| 1790299832 | Medical Ecp of Western New York P C | Internal Medicine | 4330 Maple Rd Ste 102, Amherst, NY 14226 | 2017-11-28 |
| 1841709425 | Elisabeth Wagner | Physical Therapy Assistant | 4498 Main St., Suite 24, Amherst, NY 14226 | 2017-09-26 |
| Find all providers in zip 14226 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412711 | Nicole Erin | Physical Therapist | 780 8th Ave Ste 300, New York, NY 10036-7000 | 2020-09-17 |
| 1457983405 | Set Physical Therapy Pllc | Physical Therapist | 211 E 43rd St Rm 1101, New York, NY 10017-4769 | 2020-02-07 |
| 1750929725 | Rock Pt Rehab | Physical Therapist | 16 E 48th St # 6f, New York, NY 10017-1017 | 2019-12-20 |
| 1821642109 | Seguia & Eleazar Physical Therapy Pllc | Physical Therapist | 403 E 91st St Fl 4, New York, NY 10128-6800 | 2019-07-25 |
| 1942853981 | Precision Physical Therapy and Sports Medicine Pllc | Physical Therapist | 1469 State Route 7, Richmondville, NY 12149 | 2019-07-18 |
| 1982260915 | Celebi & Smith Pt Pllc | Physical Therapist | 50 Austin Blvd, Commack, NY 11725-5723 | 2019-05-15 |
| 1760962062 | Michael James Hannett | Physical Therapist | 278 W 81st St, New York, NY 10024-5728 | 2018-08-16 |
| 1770079550 | Suarez Sport & Orthopedic Physical Therapy Pllc | Physical Therapist | 201 Beryl Way, Watervliet, NY 12189-2970 | 2018-07-05 |
| 1992254585 | Maurizio A Llin Pt PC | Physical Therapist | 4029 168th St, Flushing, NY 11358-2630 | 2016-09-24 |
| 1831558139 | Derek Mansfield | Physical Therapist | 145 Palisade St Ste 200, Dobbs Ferry, NY 10522 | 2016-02-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARYBETH DISANZA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.