Marissa Faroni, DPT

Key facts

NPI

1457067787

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

Practice address

1135 Stonecrest Blvd Ste 103
Tega Cay, SC 29708-6559

Phone

(803) 547-9940

NPI assigned

Jan 30, 2023

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2023.

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1457067787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 STONECREST BLVD STE 103",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297086559",
            "telephone_number": "803-547-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARONI",
        "first_name": "MARISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tega Cay, SC

• Dr. Richard-James M. Hansen & Associates (Fort Mill), P.C.
• Elizabeth Anne Duhamel, PT
• Tina Davis Easterling, OPTICIAN
• Eelio
• Elizabeth Royston LLC
• Christian M Figueroa Hidalgo
• Barron Oneal Foster Jr.
• Madison Benfield Foti, SLP
• Alexia Galakatos, M.A.,CCC-SLP
• Chloe Jeannine Gonzalez, OTR/L

All providers in Tega Cay, SC · Physical Therapist in South Carolina