Marilyn Cavite Cruz-Rosal, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070019010 Issued in IL

Practice address

386 Clubhouse St
Bolingbrook, IL 60490-2119

Phone

(347) 838-0907

NPI assigned

Jun 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Marilyn Cavite Cruz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Ultimate Care Inc.

  • Occupational Therapist
  • Delray Beach, FL
  • NPI 1316382898
  NPD (past)

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1306157532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16089 POPPYSEED CIR",
            "address_2": "SUITE 2008",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846314",
            "telephone_number": "561-496-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 CLUBHOUSE ST",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902119",
            "telephone_number": "347-838-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-ROSAL",
        "first_name": "MARILYN",
        "middle_name": "CAVITE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030347",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL DRIVER'S LICENSE",
            "identifier": "C620-5438-0877",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "070019010",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE IDENTIFICATION CARD",
            "identifier": "586678724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "CRUZ",
            "middle_name": "CAVITE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Covenant Holistic Healthcare Services, Inc.
• Lapree A Crawford
• Perry William Crawford, PA-C
• Crescent Therapy LLC
• Shamar Crosley
• Katrina Cudal
• Jennifer Lynn Cunningham
• Jessica Nicole Cunningham, MD, MPH
• Michelle Lee Cunningham, LCSW
• Tracy Lynn Cunningham, LCSW

• Physical Therapist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.