Individual provider Active NPI

Marian Princess Soriano Cerisier

  • Physical Therapist
  • Lynbrook, NY
National Provider Identifier
1144751389
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036069 Issued in NY
Practice address
225 Lakeview Ave
Lynbrook, NY 11563-1923
Phone
(347) 394-9046
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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 036069 NY Primary

Addresses

Primary practice location

225 Lakeview Ave
Lynbrook, NY 11563-1923

Mailing address

225 Lakeview Ave
Lynbrook, NY 11563-1923
Phone (347) 394-9046

Other names 1

  • Marian Princess Palacio Soriano Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170419000159 NY Practitioner - Physical Therapist in Private Practice 1355627787 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 Lakeview Ave
Lynbrook, NY 11563-1923
Phone (347) 394-9046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036069NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Movement Specialist LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Sep 7, 2019 Accepting new patients
The Traveling Physical Therapist Physical Therapist CurrentSince Jan 2, 2021 Accepting new patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Physical Therapist CurrentSince Feb 15, 2021 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Oct 1, 2019 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600

576 Broadhollow Rd
Melville, NY 11747

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

4 Medical Park Dr
Pomona, NY 10970
Phone (845) 354-6225

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1144751389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 LAKEVIEW AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631923",
            "telephone_number": "347-394-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 LAKEVIEW AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631923",
            "telephone_number": "347-394-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERISIER",
        "first_name": "MARIAN PRINCESS",
        "middle_name": "SORIANO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAN PRINCESS",
            "last_name": "SORIANO",
            "middle_name": "PALACIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.