Active NPI
Marlon De Luna Navarro
- Physical Therapist
- Rochelle, IL
National Provider Identifier
1114277431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070018944
- Practice address
- 1022 Lincoln Avenue
Apt. 4
Rochelle, IL 61068 - Phone
- (954) 512-4194
- NPI assigned
- Sep 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070018944 | IL | Primary |
Addresses
Primary practice location
1022 Lincoln Avenue
Apt. 4
Rochelle, IL 61068
Mailing address
191 Calbeg
Malasiqui, PANGASINAN 2421
PH
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070018944 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1114277431",
"addresses": [
{
"country_code": "PH",
"country_name": "Philippines",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "191 CALBEG",
"city": "MALASIQUI",
"state": "PANGASINAN",
"postal_code": "2421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 LINCOLN AVENUE",
"address_2": "APT. 4",
"city": "ROCHELLE",
"state": "IL",
"postal_code": "61068",
"telephone_number": "954-512-4194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO",
"first_name": "MARLON",
"middle_name": "DE LUNA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-13",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070018944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochelle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.