Biagio Dominic Mazza (NPI# 1750457537, PAC ID# 4082628110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1750457537 |
| PAC ID by PECOS | 4082628110 |
| Professional Enrollment ID | I20060130000838 |
| Full Name | Biagio Dominic Mazza |
| Organization Legal Name | ELITE SPORTS MEDICINE AND PHYSICAL THERAPY |
| Address |
13157 State Line Rd Kansas City MO 64145-1650 |
| Phone Number | 8169412550 |
| Gender | M |
| Credential | PT |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8921012055 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13157 State Line Rd, Kansas City, MO 64145-1650 | 8169412550 | ELITE SPORTS MEDICINE AND PHYSICAL THERAPY |
| Organization Legal Name | ELITE SPORTS MEDICINE AND PHYSICAL THERAPY |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin R Snead | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Sara Ashley Clayton | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Brittany Rose Oppland | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Cody W Hullman | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Leslie L Ricketts | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Sydney Elaine Hawley | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Brett James Beltrame | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Justin Shay Trent | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Juan Camilo Paz Delgado | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Michael Wesley Hauber | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Street Address |
13157 STATE LINE RD |
| City | KANSAS CITY |
| State | MO |
| Zip | 64145-1650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin R Snead | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Sara Ashley Clayton | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Brittany Rose Oppland | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Cody W Hullman | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Leslie L Ricketts | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Sydney Elaine Hawley | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Brett James Beltrame | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Justin Shay Trent | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Juan Camilo Paz Delgado | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Michael Wesley Hauber | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorna A Mccartney | Nurse Practitioner | Prime Healthcare Kansas City - Physician Services LLC | 11901 Wornall Rd, Kansas City, MO 64145-1007 |
| Maria A Ferrell | Nurse Practitioner | Kansas City Hospice Inc | 12000 Wornall Rd, Kansas City Hospice House, Kansas City, MO 64145-1117 |
| Denise E Sanders | Nurse Practitioner | Kansas City Hospice Inc | 12000 Wornall Rd, Kansas City Hospice House, Kansas City, MO 64145-1117 |
| Donald Miller | Optometry | K C Vision Center, LLC | 1701 W 133rd St, Kansas City, MO 64145-1631 |
| Steven B Bartholomew | Optometry | 1201 W 136th St, Kansas City, MO 64145-1647 | |
| Shawna R Harmon | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 13101 State Line Rd, Kansas City, MO 64145-1650 |
| Sarah R Kaunley | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 13101 State Line Rd, Kansas City, MO 64145-1650 |
| Selena N Dattoli | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 13101 State Line Rd, Kansas City, MO 64145-1650 |
| Tammy L Whipple Manes | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 13101 State Line Rd, Kansas City, MO 64145-1650 |
| Kimberly Ann Skoumal Pointer | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Find all physicians in zip 64145 | |||
| City | KANSAS CITY |
| Zip Code | 64145 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | KANSAS CITY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Biagio Dominic Mazza.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.