Kurt Marcella, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6157 Issued in MA

Practice address

95 Main St
Brockton, MA 02301-4010

Phone

(508) 559-9696

NPI assigned

May 9, 2008

Sex

Male

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

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.

• North South Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • Brockton, MA
  • NPI 1578791042
  NPD (past)
• North South Physical Therapy, Inc.

  • Physical Therapist
  • Boston, MA
  • NPI 1588732879
  NPD (past)

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1497922330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 UTILITY RD",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020663329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014010",
            "telephone_number": "508-559-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLA",
        "first_name": "KURT",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "6157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele A Manting, MD
• Meghan Mantler, MSW
• Alexis Jacklyn Manzella
• Maranatha Staffing
• Darma Marcelin
• Carvens Marcellus
• Rubenza Joya Marcellus
• Franklin Marcelo
• Jill Ann Marciello, LICSW
• Denise Claire Marcoux, PA-C

• Physical Therapy Assistant in Brockton, MA
• Providers in Brockton, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.