Individual provider Active NPI

Marla Maria Steiner, MS, PTA

  • Physical Therapy Assistant
  • Ponte Vedra Beach, FL
National Provider Identifier
1063703015
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
20371PTA Issued in FL
Practice address
151 Sawgrass Corners Dr
Suite 117
Ponte Vedra Beach, FL 32082-3553
Phone
(904) 371-4649
Fax
(888) 393-1099
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 20371PTA FL Primary

Addresses

Primary practice location

151 Sawgrass Corners Dr
Suite 117
Ponte Vedra Beach, FL 32082-3553

Mailing address

41 Sea Winds LN S
Ponte Vedra Beach, FL 32082-2734
Phone (904) 868-6609

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
20371PTAFLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Rehab Inc 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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1063703015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SEA WINDS LN S",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822734",
            "telephone_number": "904-868-6609",
            "fax_number": "904-285-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SAWGRASS CORNERS DR",
            "address_2": "SUITE 117",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823553",
            "telephone_number": "904-371-4649",
            "fax_number": "888-393-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINER",
        "first_name": "MARLA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "MS, PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "20371PTA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.