Edison Antonio Jr Isada Mariano, RPT
NPI 1568214377ActiveIndividual· Physical Therapist· Saipan, MP
Physical Therapist (RPT) with Maxicare Therapy and Wellness of Nevada, practicing in Saipan, Northern Mariana Islands. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1568214377 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPT |
| Sole proprietor | No |
| NPI issued | Apr 4, 2024 |
| Last updated in NPPES | Apr 8, 2024 |
| Certified by provider | Apr 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 0069 | MP |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NV) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Maxicare Therapy and Wellness of NevadaLas Vegas, NV · 8 clinicians
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