Individual provider Active NPI

Marisa Priolo, PT, DPT

  • Orthopedic Physical Therapist
  • Lincroft, NJ
National Provider Identifier
1205484698
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA Issued in NJ
Practice address
732 Newman Springs Rd Ste 200
Lincroft, NJ 07738-1545
Phone
(732) 747-1262
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA NJ Primary

Addresses

Primary practice location

732 Newman Springs Rd Ste 200
Lincroft, NJ 07738-1545

Mailing address

1901 Joseph CT
Wall Township, NJ 07719-9149

Other practice location 1

120 Craig Rd Ste 2
Manalapan, NJ 07726-3267
Phone (732) 462-2162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

732 Newman Springs Rd
Suite 200
Lincroft, NJ 07738-1545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QANJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Rehab & Performance Current Accepting new patients
DB Orthopedic Physical Therapy, PC Orthopedic CurrentSince Aug 29, 2019 Accepting new patients
DB Orthopedic Physical Therapy of Manalapan, LLC Past Accepting new patients

Locations

732 Newman Springs Rd
Ste 200
Lincroft, NJ 07738
Phone (732) 747-1262

Organizations & group practices 3

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1205484698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 JOSEPH CT",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 NEWMAN SPRINGS RD STE 200",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381545",
            "telephone_number": "732-747-1262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Craig Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077263267",
            "country_code": "US",
            "telephone_number": "732-462-2162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIOLO",
        "first_name": "MARISA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincroft, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.