Marissa Tamar Schaeffer, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

043464 Issued in NY

Practice address

125 W 72ND St RM 5F
New York, NY 10023-3278

Phone

(646) 475-0907

NPI assigned

Aug 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Marissa T Schaeffer Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1043989908
  NPD Authorized official
• Fit Club Inc

  • Orthopedic Physical Therapist
  • New York, NY
  • NPI 1225570807
  NPD (past)
• Kellen Ryan Scantlebury Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Astoria, NY
  • NPI 1659148807

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1396225538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W 72ND ST RM 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233278",
            "telephone_number": "646-475-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W 72ND ST RM 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233278",
            "telephone_number": "646-475-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFFER",
        "first_name": "MARISSA",
        "middle_name": "TAMAR",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "043464",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marissa@flyspacept.com",
            "affiliation": "N",
            "address_1": "125 W 72nd St Rm 5F",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100233278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles Schaeffer, PH.D
• Damian Schaeffer
• Deborah Schaeffer
• Kassidy Ann Schaeffer, PA-C
• Lorena Schaeffer, LMSW
• Mary Schaeffer, NP
• Megan Schaeffer
• Melissa Lauren Schaeffer, OTR/L
• Peter Schaeffer, PHD
• Stephanie Schaeffer, PHD

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

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