Provider Demographics
NPI:1861746604
Name:MAHAR, CAROLINE M (DPT)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:M
Last Name:MAHAR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:M
Other - Last Name:DILWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:5565 N WICKHAM RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-7304
Mailing Address - Country:US
Mailing Address - Phone:407-573-3352
Mailing Address - Fax:407-573-3355
Practice Address - Street 1:5565 N WICKHAM RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7304
Practice Address - Country:US
Practice Address - Phone:407-573-3352
Practice Address - Fax:407-573-3355
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT277752251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist