Individual provider Active NPI

Christiana Marron

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1003266537
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
31525 Issued in FL
Practice address
800 E Broward Blvd Ste 102
Fort Lauderdale, FL 33301-2020
Phone
(845) 629-6122
Fax
(954) 999-0116
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 31525 FL
Orthopedic Physical Therapist 2251X0800X 31525 FL
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081S0010X 31525 FL Primary

Addresses

Primary practice location

800 E Broward Blvd Ste 102
Fort Lauderdale, FL 33301-2020

Mailing address

800 E Broward Blvd Ste 102
Fort Lauderdale, FL 33301-2020
Phone (845) 629-6122

Other practice location 1

5471 Wiles Rd
Apt 106
Coconut Creek, FL 33073-4252
Phone (845) 629-6122

Other identifiers 1

IdentifierTypeStateIssuer
31525OtherFLCASH PAY PRACTICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31525FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Christiana Marron, PLLC Single Specialty Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1003266537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD STE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012020",
            "telephone_number": "845-629-6122",
            "fax_number": "954-999-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD STE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012020",
            "telephone_number": "845-629-6122",
            "fax_number": "954-999-0116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5471 WILES RD",
            "address_2": "APT 106",
            "address_purpose": "LOCATION",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734252",
            "country_code": "US",
            "telephone_number": "845-629-6122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRON",
        "first_name": "CHRISTIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31525",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "31525",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "31525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASH PAY PRACTICE",
            "identifier": "31525",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.