Active NPI
Christiana Marron
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Fort Lauderdale, FL
National Provider Identifier
1003266537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 31525
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 31525 | FL | |
| Orthopedic Physical Therapist | 2251X0800X | 31525 | FL | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31525 | Other | FL | CASH 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31525 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.