Kristine E Marinello, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008403 Issued in GA

Practice address

736 Johnson Ferry Rd
Suite a-12
Marietta, GA 30068-4379

Phone

(770) 321-4721

Fax

(770) 579-7060

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Body Pros Physical Therapy

  • Occupational Therapist
  • Marietta, GA
  • NPI 1679588321

  Physical Therapist

  NPD (past)
• High Performance Physical Therapy Centers

  • Physical Therapist
  • Suwanee, GA
  • NPI 1467645689
  NPD (past)
• Physical Therapy Associates of Orange Park, Inc

  • Physical Therapy Clinic/Center
  • Fleming Island, FL
  • NPI 1508883018

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548298698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5559 GLENRIDGE DR NE",
            "address_2": "SUITE 1104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303427203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 JOHNSON FERRY RD",
            "address_2": "SUITE A-12",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684379",
            "telephone_number": "770-321-4721",
            "fax_number": "770-579-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINELLO",
        "first_name": "KRISTINE",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22712",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marietta Springs LLC
• Marietta Square Chiropractic, Inc.
• Marietta Vision
• Marietta Vision Care, Inc.
• Marietta West Cobb Counseling Center, Inc.
• Alexis Mariner, MS, LAT, ATC
• Angela Marino
• Brenda L Marino, MD
• Paul A. Marino, P.T.
• Sarah Marjoram

• Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapist in Georgia

• 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.