Individual provider Active NPI

Marisa L. Girman, P.T.

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1467570325
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24428 Issued in FL
Practice address
9731 Commerce Center CT
Fort Myers, FL 33908-1400
Phone
(239) 334-2500
NPI assigned
Mar 27, 2007
Last updated
Apr 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05009894A IN
Physical Therapist 225100000X PT 8405 OH
Physical Therapist 225100000X 24428 FL Primary

Addresses

Primary practice location

9731 Commerce Center CT
Fort Myers, FL 33908-1400

Mailing address

536 Old Howell Rd
Greenville, SC 29615-1969
Phone (864) 244-3626

Other practice location 1

1020 E Commercial Ave
Lowell, IN 46356-2310
Phone (219) 696-6353

Other practice location 2

9615 Keilman St
Saint John, IN 46373-9406
Phone (219) 365-0220

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

State licenses

LicenseStateTypeSpecialty
24428FLMDClinical Social Worker
PT 8405OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayonne Physical Therapy Inc Physical Therapist Past Accepting new patients
Bayonne Physical Therapy Inc Physical Therapist PastSince May 8, 2020 Accepting new patients
Rehabilitation and Health Center, Inc Physical Therapist Past Accepting new patients
Orthopedic Specialists of Northwest Indiana LLC Past Accepting new patients
Therapy Specialists Inc Physical Therapist PastSince Aug 30, 2010 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1467570325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151969",
            "telephone_number": "864-244-3626",
            "fax_number": "864-244-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9731 COMMERCE CENTER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081400",
            "telephone_number": "239-334-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 E Commercial Ave",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "IN",
            "postal_code": "463562310",
            "country_code": "US",
            "telephone_number": "219-696-6353",
            "fax_number": "219-696-6368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9615 Keilman St",
            "address_purpose": "LOCATION",
            "city": "Saint John",
            "state": "IN",
            "postal_code": "463739406",
            "country_code": "US",
            "telephone_number": "219-365-0220",
            "fax_number": "219-365-0226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRMAN",
        "first_name": "MARISA",
        "middle_name": "L.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009894A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 8405",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.