Individual provider Active NPI

Marisa Hastings

  • Physical Therapist
  • Lehigh Acres, FL
National Provider Identifier
1043047749
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43670 Issued in FL
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

Updated by the provider on Oct 1, 2025

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 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, CO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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 Partnership 530 clinicians
Physiotherapy Associates Inc 1,432 clinicians

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

LicenseStateTypeSpecialty
PT43670FLMDPhysical Therapist

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Sep 17, 2025 Accepting new patients
Physiotherapy Associates Inc CurrentSince Sep 17, 2025 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist Current Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Jan 18, 2026 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Jan 18, 2026 Accepting new patients
Ati Holdings, LLC PastSince Sep 1, 2024 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.

View all 14

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.

Verify at the official NPI Registry.