Individual provider Active NPI

Marissa J Lynn, PT, DPT

  • Physical Therapist
  • Manalapan, NJ
National Provider Identifier
1205238045
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01562700 Issued in NJ
Practice address
13 Vail Valley Dr
Manalapan, NJ 07726
Phone
(908) 770-5306
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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 40QA01562700 NJ Primary

Addresses

Primary practice location

13 Vail Valley Dr
Manalapan, NJ 07726

Mailing address

13 Vail Valley Dr
Manalapan, NJ 07726-5022
Phone (908) 770-5306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141027000806 NJ Practitioner - Physical Therapist in Private Practice 9133340607 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

2770 Hooper Ave
Suite 16
Brick, NJ 08723-4160
Phone (732) 714-5062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01562700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Oct 1, 2018 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jul 16, 2018 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jul 16, 2018 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Oct 16, 2023 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Nov 1, 2020 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Trinity Rehab Somerset PA Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Nov 1, 2020 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Oct 16, 2023 Accepting new patients

Locations

150 Chambers Bridge Rd
Ste 200
Brick, NJ 08723
Phone 7322195700 ext. 110

74 Brick Blvd
Ste 116
Brick, NJ 08723
Phone (732) 451-0010

2770 Hooper Ave
#16
Brick, NJ 08723
Phone (732) 714-5061

465 Cranbury Rd
Ste 103
East Brunswick, NJ 08816
Phone (732) 254-7085

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

999 Route 73 N
Ste 401
Marlton, NJ 08053

1077 State Route 34
Ste M
Matawan, NJ 07747
Phone (732) 970-7882

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

554 State Route 35
Red Bank, NJ 07701

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

84 Orient Way
Rutherford, NJ 07070
Phone (201) 514-4900

150 Flanagan Way
Secaucus, NJ 07094
Phone (201) 319-0010

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

175 Route 37 W
#R
Toms River, NJ 08755

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1205238045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 VAIL VALLEY DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077265022",
            "telephone_number": "908-770-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 VAIL VALLEY DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "908-770-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "MARISSA",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01562700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.