Active NPI
Marisa Hastings
- Physical Therapist
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT43670
- Practice address
- 4316 Lee Blvd Unit 12B
Lehigh Acres, FL 33971-1735 - Phone
- (239) 368-7744
- NPI assigned
- Sep 17, 2024
- Sex
- Female
- Sole proprietor
- No
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 | PT43670 | FL | Primary |
| Physical Therapist | 225100000X | MA | ||
| Physical Therapist | 225100000X | MD |
Addresses
Primary practice location
4316 Lee Blvd Unit 12B
Lehigh Acres, FL 33971-1735
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other practice location 1
460 Providence Hwy
Dedham, MA 02026-6815
Phone (781) 381-5242
Other practice location 2
14190A Baltimore Ave
Laurel, MD 20707-5007
Phone (240) 542-5924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MA, FL, CO
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241001000693 | DC | Practitioner - Physical Therapist in Private Practice | 7315478443 | Reassigns benefits to 1 organization |
| I20241224001483 | MA | Practitioner - Physical Therapist in Private Practice | 7315478443 | Reassigns benefits to 1 organization |
| I20251022001885 | FL | Practitioner - Physical Therapist in Private Practice | 7315478443 | Reassigns benefits to 1 organization |
| I20260205001468 | CO | Practitioner - Physical Therapist in Private Practice | 7315478443 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy of West Denver Limited PartnershipPhysiotherapy Associates Inc
Practice addresses (Care Compare)
3880 Grant Ave
Suite 100
Loveland, CO 80538-8433
Phone (970) 663-7780
4316 Lee Blvd
Unit 12B
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT43670 | FL | MD | Physical Therapist |
Practice roles (10 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates, Inc. | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy of West Denver Limited Partnership | Current | Accepting new patients | |
| Select Physical Therapy of West Denver Limited Partnership | Current | Accepting new patients | |
| Ati Holdings, LLC | Past | Accepting new patients |
Locations
375 E Horsetooth Rd
Ste 104
Fort Collins, CO 80525
Phone (970) 286-2868
838 W Drake Rd
Ste 105
Fort Collins, CO 80526
Phone (970) 294-4197
4617 W 20th St
Unit A
Greeley, CO 80634
Phone (970) 352-9022
2964 Ginnala Dr
Loveland, CO 80538
Phone (970) 663-6998
3880 Grant Ave
Ste 100
Loveland, CO 80538
Phone (970) 663-7780
8601 Turnpike Dr
Ste 204
Westminster, CO 80031
Phone (570) 417-7622
1230 W Ash St
Unit A
Windsor, CO 80550
Phone (970) 561-7111
4316 Lee Blvd
Unit 12B
Lehigh Acres, FL 33971
Phone (239) 368-7744
790 Remington Blvd
Bolingbrook, IL 60440
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
460 Providence Hwy
Dedham, MA 02026
Phone (781) 237-5585
14190 Baltimore Ave
Laurel, MD 20707
Phone (240) 542-5924
14190 Baltimore Ave
#A
Laurel, MD 20707
Phone (240) 542-5924
11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280
Networks
- Freedom Health HMO Network
Organizations & group practices 14
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.
-
- Physical Therapy Clinic/Center
- Westminster, CO
- NPI 1346896081
CO
-
- Physical Therapy Clinic/Center
- Port Charlotte, FL
- NPI 1245919059
FL, Physical Therapist
-
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DC, Physical Therapist
-
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
MA, Physical Therapist
-
- Physical Therapy Clinic/Center
- Wheat Ridge, CO
- NPI 1942279567
-
- Physical Therapy Clinic/Center
- Lakewood, CO
- NPI 1104895754
-
- Physical Therapy Clinic/Center
- Woodland Park, CO
- NPI 1528791316
-
- Physical Therapy Clinic/Center
- Fort Collins, CO
- NPI 1881237451
-
- Physical Therapy Clinic/Center
- Lehigh Acres, FL
- NPI 1376235408
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1043047749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4316 LEE BLVD UNIT 12B",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339711735",
"telephone_number": "239-368-7744"
}
],
"practiceLocations": [
{
"address_1": "460 Providence Hwy",
"address_purpose": "LOCATION",
"city": "Dedham",
"state": "MA",
"postal_code": "020266815",
"country_code": "US",
"telephone_number": "781-381-5242",
"fax_number": "781-686-9250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14190A Baltimore Ave",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MD",
"postal_code": "207075007",
"country_code": "US",
"telephone_number": "240-542-5924",
"fax_number": "301-317-5629",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASTINGS",
"first_name": "MARISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-17",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT43670",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.