Individual provider Active NPI

Marianne Flores, PT

  • Physical Therapist
  • Closter, NJ
National Provider Identifier
1104902212
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
15 Ver Valen St
Closter, NJ 07624-2635
Phone
(201) 784-6800
Fax
(201) 784-6801
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 Primary

Addresses

Primary practice location

15 Ver Valen St
Closter, NJ 07624-2635

Mailing address

3 University PLZ Ste 205
Hackensack, NJ 07601-6208

Other names 1

  • Marianne Encarnacion Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071219000761 NJ Practitioner - Physical Therapist in Private Practice 0143310730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Name Primary Care and Specialty Associates PC 44 clinicians

Practice addresses (Care Compare)

15 Ver Valen St
Closter, NJ 07624-2635
Phone (201) 784-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Name Primary Care and Specialty Associates, PC CurrentSince Mar 1, 2024 Accepting new patients
Advanced Physical Medicine Center of Fairview, LLC Physical Therapist PastSince Nov 9, 2025 Accepting new patients
Advanced Physical Medicine Center, LLC PastSince Jul 1, 2001 Accepting new patients

Locations

15 Ver Valen St
Closter, NJ 07624
Phone (201) 784-3600

3 University Plz
Ste 205
Hackensack, NJ 07601

730 Palisade Ave
Teaneck, NJ 07666
Phone (201) 353-9000

354 Old Hook Rd
Ste 102
Westwood, NJ 07675
Phone (201) 358-0400

Organizations & group practices 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1104902212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLZ STE 205",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VER VALEN ST",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242635",
            "telephone_number": "201-784-6800",
            "fax_number": "201-784-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MARIANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "ENCARNACION",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Closter, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.