Individual provider Active NPI

Marina Ayoub, PT, DPT

  • Physical Therapist
  • Lindenhurst, NY
National Provider Identifier
1497490841
Registry record updated Apr 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048462-01 Issued in NY
Practice address
970 Wellwood Ave
Lindenhurst, NY 11757-1016
Phone
(631) 490-5435
NPI assigned
Apr 30, 2022
Last updated
Apr 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 048462-01 NY Primary

Addresses

Primary practice location

970 Wellwood Ave
Lindenhurst, NY 11757-1016

Mailing address

137 Moffitt Blvd
Islip, NY 11751-2916
Phone (631) 559-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220613001995 NY Practitioner - Physical Therapist in Private Practice 2668850157 Reassigns benefits to 1 organization
I20240509000800 NJ Practitioner - Physical Therapist in Private Practice 2668850157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

2107 Route 35
Holmdel, NJ 07733-2795
Phone (732) 856-9791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048462NYMDPharmacist
048462-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Apr 3, 2024 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Advance Physical Therapy, P.C. Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist CurrentSince Apr 3, 2024 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Aug 27, 2024 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

175 Route 37 W
#R
Toms River, NJ 08755

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

10 Woodbridge Center Dr
Ste 102
Woodbridge, NJ 07095
Phone (732) 588-6935

970 Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 225-1289

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": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1497490841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MOFFITT BLVD",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117512916",
            "telephone_number": "631-559-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571016",
            "telephone_number": "631-490-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUB",
        "first_name": "MARINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-30",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048462-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.