Individual provider Active NPI

Mariel Foster, PT, DPT

  • Physical Therapist
  • Waterloo, NY
National Provider Identifier
1033877436
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048114 Issued in NY
Practice address
1282 Waterloo Geneva Rd
Waterloo, NY 13165-1457
Phone
(315) 539-4683
Fax
(315) 539-4684
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 048114 NY Primary

Addresses

Primary practice location

1282 Waterloo Geneva Rd
Waterloo, NY 13165-1457

Mailing address

1282 Waterloo Geneva Rd
Waterloo, NY 13165-1457
Phone (315) 539-4683

Other names 1

  • Mariel Rutkowski Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220224002717 NY Practitioner - Physical Therapist in Private Practice 4183018708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julie S Bellone PT PLLCGroup PAC ID 3577802131, 5 clinicians

Practice addresses (Care Compare)

1282 Waterloo Geneva Rd
Waterloo, NY 13165-1208
Phone (315) 539-4683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048114NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie S. Bellone, PT, PLLC Physical Therapist CurrentSince Aug 12, 2023 Accepting new patients
Alise Chiropractic Health & Wellness, PLLC CurrentSince Dec 5, 2021 Accepting new patients

Locations

376 Elmira Rd
#100
Ithaca, NY 14850
Phone (607) 227-2623

1282 Waterloo Geneva Rd
Waterloo, NY 13165
Phone (315) 539-4683

Organizations & group practices 2

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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1033877436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 WATERLOO GENEVA RD",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651457",
            "telephone_number": "315-539-4683",
            "fax_number": "315-539-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 WATERLOO GENEVA RD",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651457",
            "telephone_number": "315-539-4683",
            "fax_number": "315-539-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "MARIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIEL",
            "last_name": "RUTKOWSKI",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterloo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.