Marianna R. Dimaggio, PT, DPT
NPI 1114547122ActiveIndividual· Clinic/Center, Physical Therapy· Saco, ME
Clinic/Center, Physical Therapy (PT, DPT) with Advanced Physical Therapy Inc, practicing in Saco, Maine. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1114547122 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Apr 20, 2020 |
| Last updated in NPPES | Apr 20, 2020 |
| Certified by provider | Apr 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Physical Therapy Primary | 261QP2000X | PT5405 | ME |
| Clinic/Center, Physical Therapy | 261QP2000X | 21570 | MA |
| Clinic/Center, Physical Therapy | 261QP2000X | 31182 | AZ |
| Clinic/Center, Physical Therapy | 261QP2000X | 9947 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AK) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Advanced Physical Therapy IncFairbanks, AK · 39 clinicians
Other Clinic/Center, Physical Therapy providers in Saco
- 1164861845