Active NPI
Marjorie Enriquez Mari, PT
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1528235124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029133
- Practice address
- 3201 W Commercial Blvd
Suite 116
Fort Lauderdale, FL 33309 - Phone
- (954) 332-4445
- Fax
- (866) 422-6431
- NPI assigned
- May 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029133 | NY | Primary |
| Physical Therapist | 225100000X | PT019618 | PA | |
| Physical Therapist | 225100000X | PT24376 | FL |
Addresses
Primary practice location
3201 W Commercial Blvd
Suite 116
Fort Lauderdale, FL 33309
Mailing address
3201 W Commercial Blvd
Suite 116
Fort Lauderdale, FL 33309
Phone (954) 332-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 E Boot Rd
Bellingham at West Chester
West Chester, PA 19380-6001
Phone (610) 601-8510
695 Main St
Harleysville, PA 19438-1671
Phone (267) 460-3712
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT24376 | FL | MD | Physical Therapist |
| 029133 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Medpro | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Abington, PA
- NPI 1235653403
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1033353339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1528235124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 W COMMERCIAL BLVD",
"address_2": "SUITE 116",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-332-4445",
"fax_number": "866-422-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W COMMERCIAL BLVD",
"address_2": "SUITE 116",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-332-4445",
"fax_number": "866-422-6431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARI",
"first_name": "MARJORIE",
"middle_name": "ENRIQUEZ",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029133",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019618",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT24376",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.