Joel Marcellino

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

280 Ga-74
Peachtree City, GA 30269

Phone

(678) 528-1135

Fax

(678) 528-1268

NPI assigned

Jul 29, 2025

Last updated

Jul 30, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1154204071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N 6TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403419",
            "telephone_number": "601-342-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 GA-74",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "30269",
            "telephone_number": "678-528-1135",
            "fax_number": "678-528-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLINO",
        "first_name": "JOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siarra Aderonke Maketo, LCSW
• Kermit J Mallette, DDS
• Cris Malloy
• Anisha Mandava, M.D
• Kimberley S. Mapel, LPC
• Laura Marchese, R.D.N., L.D.
• Noah Marchese, DC
• Barry K Marcum, DMD
• Mark Lynn O.D. & Associates, P.C. (Visionworks)
• Kevin Dwain Marler, M.D.

• Physical Therapist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.