Marisa N Linkroum, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01907900 Issued in NJ

Practice address

168 Franklin Corner Rd., BLDG 1
Suite 110
Lawrenceville, NJ 08648-1279

Phone

(609) 299-1279

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marisa Nicole Asta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  NPD (past)
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1508403411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416495",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416495",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 FRANKLIN CORNER RD., BLDG 1",
            "address_2": "SUITE 110",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481279",
            "telephone_number": "609-299-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINKROUM",
        "first_name": "MARISA",
        "middle_name": "N",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01907900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "ASTA",
            "middle_name": "NICOLE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Limitless Behavioral Services and Consulting LLC
• Jeffrey Youjen Lin, DPT
• Jerome Lindauer, L.C.S.W., L.S.W.
• Matthew Linder, BCBA
• Aisling Marie Linehan, DPT
• Jeffrey Leonard Lipkowitz, M.D.
• Patricia R Livecchi
• Paul Norman Loeb, D.O.
• Nathalia Lopez, MA, LAC, NCC
• Lorraine Kosztyu, D.M.D.

• Physical Therapist in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.