Jason Gutierrez Marrone, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

297524 Issued in CA

Practice address

2200 Powell St Ste 120
Emeryville, CA 94608-1832

Phone

(510) 318-8600

NPI assigned

Dec 3, 2019

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Centre for Neuro Skills-SF

  • Rehabilitation Clinic/Center
  • Emeryville, CA
  • NPI 1154691061
  NPD (past)

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578700800000",
    "number": "1487291902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 LIBERTY ST APT 225",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 POWELL ST STE 120",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081832",
            "telephone_number": "510-318-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Sereno Dr",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945892441",
            "country_code": "US",
            "telephone_number": "707-651-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRONE",
        "first_name": "JASON",
        "middle_name": "GUTIERREZ",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-03",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Manzanares
• Debra Ellen Marcus, MFT
• Michael T Maricle, P.A.
• Melissa Anne Marino, P.A.
• Maria Natalia Marmol, M.D.
• Amina Audrey Kim Martel, M.D
• Martina Martin, MASSAGE THERAPIST
• Christian Eloy Martinez, PA
• Sarah Jean Lindsay Martinez
• Sophia Martinez

• Physical Therapist in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; 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.