Individual provider Active NPI

Patricia Marino, PT

  • Specialist
  • New York, NY
National Provider Identifier
1023052750
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0053291 Issued in NY
Practice address
133 E 58TH St
Suite 1201
New York, NY 10022-1236
Phone
(212) 980-3600
Fax
(212) 980-5863
NPI assigned
Jun 15, 2006
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0053291 NY Primary

Addresses

Primary practice location

133 E 58TH St
Suite 1201
New York, NY 10022-1236

Mailing address

133 E 58 Street
Ste 1201
New York, NY 10022-1269
Phone (212) 980-7636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720000215 NY Practitioner - Physical Therapist in Private Practice 4183603301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Handd Dynamic Physical and Occupational Therapy, PLLCGroup PAC ID 7416132634, 45 clinicians

Practice addresses (Care Compare)

62 E 88TH St
Lowr Level
New York, NY 10128-1151
Phone (212) 988-2501

815 2ND Ave
RM 701
New York, NY 10017-4500
Phone (212) 499-0848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0053291NYMDSpecialist
005329NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
H&D Physical Therapy & Occupational Therapy PLLC CurrentSince Feb 1, 2016 Accepting new patients
H&D Dynamic Physical & Occupational Therapy, PLLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

62 E 88th St
New York, NY 10128
Phone (212) 427-7000

62 E 88th St
Lowr
New York, NY 10128
Phone (212) 369-9200

815 2nd Ave
Rm 701
New York, NY 10017
Phone (646) 656-0156

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1023052750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 58 STREET",
            "address_2": "STE 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221269",
            "telephone_number": "212-980-7636",
            "fax_number": "121-298-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST",
            "address_2": "SUITE 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221236",
            "telephone_number": "212-980-3600",
            "fax_number": "212-980-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "PATRICIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0053291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.