Dennille Marie Marble, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

007610 Issued in NY

Practice address

25 Liberty St Ste 5
Batavia, NY 14020-3246

Phone

(585) 343-1840

NPI assigned

Feb 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Dennille Marie Laney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrated Therapy of Wny,OT/PT/SLP,PLLC

  • Early Intervention Provider Agency
  • Batavia, NY
  • NPI 1356639165
  NPD (past)

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1154628394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LIBERTY ST STE 5",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203246",
            "telephone_number": "585-343-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LIBERTY ST STE 5",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203246",
            "telephone_number": "585-343-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBLE",
        "first_name": "DENNILLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "007610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE NUMBER",
            "identifier": "007610",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNILLE",
            "last_name": "LANEY",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sai Guna Ranjan Mandava, DDS
• Carol A Mangino, NPP
• Mikhail Clyde Ababa Manginsay, MD
• Beverly Louise Maniace, CASAC, NCAC 1
• Michelle Marie Maniace, FNP
• Janelle Marble Marble
• Sarah Marcello
• Robert S. Marchese, DDS
• Russell Michael Marchese Jr., D.D.S.
• Marguerite M. Mikulski

• Physical Therapy Assistant in Batavia, NY
• Providers in Batavia, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.