Vivian Marmolejo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19590 Issued in FL

Practice address

1561 N Palm Ave
Pembroke Pines, FL 33026-3229

Phone

(954) 443-2420

Fax

(954) 443-8422

NPI assigned

May 13, 2006

Sex

Female

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Michael Surdis, Jr. P.a.Group PAC ID 8820261092, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Michael Surdis, Jr. P.a.

  dba All Broward Chiropractic and Pain Rehabilitation Center, Inc.

  • Chiropractor
  • Pembroke Pines, FL
  • NPI 1548211972
  Medicare reassignment Care Compare group NPD
• Physical Therapy Now Coral Springs LLC

  • Clinic/Center
  • Coral Springs, FL
  • NPI 1316456817

  Physical Therapist

  Medicare reassignment NPD
• Physical Therapy Now Holdings, LLC

  dba Physical Therapy Now

  • Clinic/Center
  • Miami, FL
  • NPI 1598063521

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215988407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 N PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263229",
            "telephone_number": "954-443-2420",
            "fax_number": "954-443-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 N PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263229",
            "telephone_number": "954-443-2420",
            "fax_number": "954-443-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOLEJO",
        "first_name": "VIVIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Slavisa Markovic, MD
• Marlene Lora-Mejia Inc (Pembroke Square Dental)
• Marlene Tages Cordova, DO, PA
• Marlenny Feliz MD PA
• Marlon J. Demeritt, OD, PA.
• Ana Maria Marques Vega
• Samantha Marquez Morales
• Claudia Marquez Veloz
• Amaury Marquez Jr.
• Luisa V Marquez

• Physical Therapist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.