Michael Paul Marolla, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01186500 Issued in NJ

Practice address

2025 Hamburg Tpke
Suite E
Wayne, NJ 07470-6260

Phone

(973) 835-2827

Fax

(973) 835-1856

NPI assigned

Nov 24, 2006

Sex

Male

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy and Sports Conditioning LLCGroup PAC ID 6103098165, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Performance Physical Therapy & Sports Conditioning LLC

  • Physical Therapist
  • Wayne, NJ
  • NPI 1376763722
  Medicare reassignment Care Compare group NPD
• Performance PT LLC

  • Orthopedic Physical Therapist
  • Wayne, NJ
  • NPI 1003196213
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326114273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LODGE POLE LANE",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "07419",
            "telephone_number": "973-835-2827",
            "fax_number": "973-835-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HAMBURG TPKE",
            "address_2": "SUITE E",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706260",
            "telephone_number": "973-835-2827",
            "fax_number": "973-835-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROLLA",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01186500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Behavioral Health Care LLC
• Cameron Marino
• Mark E Maletsky, M.D. P.a.
• Markies Place Inc
• Martin Lawrence Marks, D.M.D.
• Lee Ann Marquard, MSW
• Kevin D. Marshall, DMD
• Esther Maria Marte
• Freda Hana Martin
• Janine Marie Martin, LCSW

• Physical Therapist in Wayne, NJ
• Providers in Wayne, 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 Jul 8, 2007; 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.