Marcel V Neesen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4614 Issued in FL

Practice address

686 N Hunt Club Blvd Ste 180
Longwood, FL 32779-2218

Phone

(407) 772-4515

Fax

(407) 772-4518

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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)

Enrolled

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.

• Promedicshealth Corp LLC

  dba CTA Therapy

  • Physical Therapist
  • Longwood, FL
  • NPI 1346397882
  Authorized official Same address or phone

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538216874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 WATERCREST DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792357",
            "telephone_number": "407-862-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 N HUNT CLUB BLVD STE 180",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792218",
            "telephone_number": "407-772-4515",
            "fax_number": "407-772-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEESEN",
        "first_name": "MARCEL",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT4614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Michelle Nago
• Michelle R Nason, M.A., LMHC
• Natalie a. Mroz, Psy.D. LLC
• Kaleb Nation-Greene
• Natural Therapy LLC
• Marilyn Negron, M.A., CCC-SLP
• Neighbormd of Longwood LLC
• Jason Nelms, BEHAVIOR TECHNICIAN
• Savannah Nelson
• Stephanie Nicole Nemeth, PTA

• Physical Therapist in Longwood, FL
• Providers in Longwood, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.