Active NPI
Lee N Marinko, PT,OCS,FAAOMPT
- Orthopedic Physical Therapist
- Beverly, MA
National Provider Identifier
1295726487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 6096
- Practice address
- 100 Cummings Ctr
Suite 121Q
Beverly, MA 01915-6115 - Phone
- (978) 774-9896
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 6096 | MA | Primary |
Addresses
Primary practice location
100 Cummings Ctr
Suite 121Q
Beverly, MA 01915-6115
Mailing address
250 Maple St
Danvers, MA 01923-1517
Phone (978) 774-9896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0323063 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
915 Commonwealth Ave
Boston, MA 02215-1394
Phone (617) 358-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6096 | MA | MD | Mental Health Counselor |
Organizations & group practices 1
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.
-
- Physical Therapist
- Boston, MA
- NPI 1265419568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295726487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MAPLE ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231517",
"telephone_number": "978-774-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR",
"address_2": "SUITE 121Q",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156115",
"telephone_number": "978-774-9896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINKO",
"first_name": "LEE",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "PT,OCS,FAAOMPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "6096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0323063",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- 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.