Stephanie Marryat, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00196900 Issued in NJ

Practice address

2500 English Creek Ave
1300
Egg Harbor Township, NJ 08234-5549

Phone

(800) 321-9999

Fax

(609) 677-7000

NPI assigned

Sep 17, 2014

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1427450949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 TROTTERS LN",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082053807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "1300",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "800-321-9999",
            "fax_number": "609-677-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRYAT",
        "first_name": "STEPHANIE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00196900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonina Mancuso, PT, DPT
• Michelle Mangam
• Laura Mann, APN
• Rebecca Lynn Mannel, OTD
• Alyssa Marquez
• Douglas Alan Martin
• Rashod K Martin, BSW CSW
• Christina Martinez
• Estefani Nayely Martinez
• John Edward Martino III, PT

• Athletic Trainer in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.