Active NPI
Marileni Brisita, P.T., DPT
- Physical Therapist
- West Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 47 N Main St
West Hartford, CT 06107-1926 - Phone
- (860) 409-4595
- NPI assigned
- Mar 6, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041342-1 | NY | |
| Physical Therapist | 225100000X | CT | Primary |
Addresses
Primary practice location
47 N Main St
West Hartford, CT 06107-1926
Mailing address
5958 Route 25a
Wading River, NY 11792-2001
Phone (631) 929-8200
Other practice location 1
5958 Route 25A
Wading River, NY 11792-2001
Phone (631) 929-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 Utopia Pkwy
Whitestone, NY 11357-4142
Phone (718) 767-0610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041342-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michele Rauer Physical Therapy Assistant, P.C. | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Services, LLC | Physical Therapist | Past | Accepting new patients |
| CRS Homebased Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248
672 S Country Rd
East Patchogue, NY 11772
Phone (631) 654-5282
576 Broadhollow Rd
Melville, NY 11747
5380 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone (631) 474-4096
9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
Organizations & group practices 8
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.
-
- Occupational Therapist
- Rockville Centre, NY
- NPI 1205296902
Physical Therapist
-
- Physical Therapy Clinic/Center
- East Patchogue, NY
- NPI 1952068173
Physical Therapist
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
-
- Occupational Therapist
- Whitestone, NY
- NPI 1487104261
Physical Therapist
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
-
- Physical Therapist
- Vernon, CT
- NPI 1104867951
-
- Physical Therapist
- East Patchogue, NY
- NPI 1770644742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1083154363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5958 ROUTE 25A",
"city": "WADING RIVER",
"state": "NY",
"postal_code": "117922001",
"telephone_number": "631-929-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071926",
"telephone_number": "860-409-4595"
}
],
"practiceLocations": [
{
"address_1": "5958 Route 25A",
"address_purpose": "LOCATION",
"city": "Wading River",
"state": "NY",
"postal_code": "117922001",
"country_code": "US",
"telephone_number": "631-929-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRISITA",
"first_name": "MARILENI",
"credential": "P.T., DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-06",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041342-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.