Micah Owen Marazon, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25697 Issued in FL

Practice address

4130 Tamiami TRL Ste 2
Port Charlotte, FL 33952-9207

Phone

(877) 856-3774

NPI assigned

Sep 12, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (13 of 15)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: micah.marazon.1@4290.direct.athenahealth.com

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.

• Aegis Group Practice LLC

  • Physical Therapist
  • Pensacola, FL
  • NPI 1447827902

  FL, Physical Therapist

  Medicare reassignment NPD
• Fitness Quest - North Port LLC

  • Physical Therapy Clinic/Center
  • North Port, FL
  • NPI 1639257405

  FL, Physical Therapist

  Medicare reassignment NPD
• Fitness Quest - Punta Gorda LLC

  • Physical Therapy Clinic/Center
  • Punta Gorda, FL
  • NPI 1043220817

  FL, Physical Therapist

  Medicare reassignment NPD
• Fitness Quest - Venice LLC

  • Physical Therapy Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1033129895

  FL, Physical Therapist

  Medicare reassignment NPD
• Fitness Quest-Port Charlotte LLC

  • Physical Therapy Clinic/Center
  • Port Charlotte, FL
  • NPI 1679761696

  FL, Physical Therapist

  Medicare reassignment NPD
• Fq0014

  • Physical Therapy Clinic/Center
  • Fort Myers, FL
  • NPI 1467079368

  FL, Physical Therapist

  Medicare reassignment NPD
• Fq0016, LLC

  • Physical Therapy Clinic/Center
  • North Fort Myers, FL
  • NPI 1134885148

  FL, Physical Therapist

  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Gulf Breeze, FL
  • NPI 1174027478
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD
• Fitness Quest - Venice LLC

  • Durable Medical Equipment & Medical Supplies
  • Longboat Key, FL
  • NPI 1427936889
  NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1124300546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 TAMIAMI TRL STE 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529207",
            "telephone_number": "877-856-3774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18900 N Tamiami Trl Ste A5",
            "address_purpose": "LOCATION",
            "city": "North Fort Myers",
            "state": "FL",
            "postal_code": "339037312",
            "country_code": "US",
            "telephone_number": "239-451-4922",
            "fax_number": "239-451-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11930 Fairway Lakes Dr Ste 103-104",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339138388",
            "country_code": "US",
            "telephone_number": "239-687-3224",
            "fax_number": "239-687-3275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARAZON",
        "first_name": "MICAH",
        "middle_name": "OWEN",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Mann
• Kimberly Grant Mansell, DO
• Manuel Gallego MD PA
• Maps Port Charlotte
• Marathon Health LLC
• Marc a. Melser, MD, PL
• Glenn J Marcus, D.O.
• Margaret G. Mayo, M.D. PA
• Nicole Marihart, PHARMD
• Mario E Carbonell MD PA

• All providers in Port Charlotte, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.