Active NPI
Mariel R Repetto, PT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1336723691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT23742
- Practice address
- 13073 Salk Way
Orlando, FL 32827-7815 - Phone
- (407) 497-0386
- NPI assigned
- May 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT23742 | FL | Primary |
Addresses
Primary practice location
13073 Salk Way
Orlando, FL 32827-7815
Mailing address
13073 Salk Way
Orlando, FL 32827-7815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1336723691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13073 SALK WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13073 SALK WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277815",
"telephone_number": "407-497-0386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPETTO",
"first_name": "MARIEL",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT23742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.