Julie Lauren Marcelliano, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA0197300 Issued in NJ

Practice address

12-22 Woodland Ave
West Orange, NJ 07052-3660

Phone

(973) 731-8588

NPI assigned

May 9, 2022

Last updated

May 9, 2022By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Pediatric Consultants, LLC

  dba Rocking Horse Rehab

  • Speech-Language Pathologist
  • Basking Ridge, NJ
  • NPI 1396073755
  NPD (past)

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1295471738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 AUDUBON DR",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341302",
            "telephone_number": "973-945-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-22 WOODLAND AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523660",
            "telephone_number": "973-731-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLIANO",
        "first_name": "JULIE",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA0197300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manickam Ganesh M.D., P.a.
• Andrea C Marana, LCSW
• Marathon Health, LLC (Marathon Health, West Orange NJ)
• Nancy Marcel
• Marc Marcelin, DPT
• Marie Sangosse MD PA
• Sheri Anne Marino Haiken, SLP
• Daniel Henry Markham, D.M.D.
• Brittany Maronna
• Meredith Marra

• Physical Therapist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.