Individual provider Active NPI

Marvelyn Nicole Tiziani, PT, DPT

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1295309813
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10 Kettle Creek Rd
Toms River, NJ 08753-1700
Phone
(732) 255-7404
NPI assigned
May 18, 2021
Last updated
May 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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 NJ Primary

Addresses

Primary practice location

10 Kettle Creek Rd
Toms River, NJ 08753-1700

Mailing address

1294 W Front St
Lincroft, NJ 07738-1263
Phone (732) 299-0149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610000184 NJ Practitioner - Physical Therapist in Private Practice 0042610289 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
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)

1167 Route 35
Middletown, NJ 07748-2605
Phone (848) 732-3220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Oct 16, 2023 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Apr 22, 2025 Accepting new patients
Pearl Rehabilitation LLC CurrentSince Jun 4, 2021 Accepting new patients
Sports Care and Physical Rehabilitation Inc. Physical Therapist CurrentSince Jun 15, 2021 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Apr 22, 2025 Accepting new patients
Ipta Clinical, LLC Physical Therapist CurrentSince Jul 15, 2022 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Oct 16, 2023 Accepting new patients
3 Dimensional Physical Therapy - Pelvic Health LLC Physical Therapist PastSince Feb 23, 2025 Accepting new patients
Parker Creek Neurorehabilitation PastSince Jun 4, 2021 Accepting new patients

Locations

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

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

116 Oceanport Ave
Little Silver, NJ 07739
Phone (732) 497-8599

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

175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750

1167 State Route 35
Middletown, NJ 07748
Phone (848) 273-3221

10 Kettle Creek Rd
Ste C
Toms River, NJ 08753
Phone (732) 244-5533

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1295309813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 W FRONT ST",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381263",
            "telephone_number": "732-299-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KETTLE CREEK RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087531700",
            "telephone_number": "732-255-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIZIANI",
        "first_name": "MARVELYN",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.