Individual provider Active NPI

Jacob Joseph Marascio, PT, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1548980089
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39375 Issued in FL
Practice address
609 S Howard Ave Ste 102
Tampa, FL 33606-2412
Phone
(813) 258-2918
NPI assigned
Sep 2, 2022
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT39375 FL Primary

Addresses

Primary practice location

609 S Howard Ave Ste 102
Tampa, FL 33606-2412

Mailing address

2902 W Cherry St
Tampa, FL 33607-3202
Phone (732) 673-9025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930000566 FL Practitioner - Physical Therapist in Private Practice 2365828209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39375FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Orthopedic Rehabilitation Services, Inc. CurrentSince Aug 6, 2022 Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Aug 6, 2022 Accepting new patients

Locations

15310 Amberly Dr
Ste 155
Tampa, FL 33647
Phone (727) 777-2705

3411 S Dale Mabry Hwy
Ste A
Tampa, FL 33629
Phone (813) 742-9501

609 S Howard Ave
Ste 102
Tampa, FL 33606
Phone (813) 258-2918

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1548980089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 W CHERRY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073202",
            "telephone_number": "732-673-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S HOWARD AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062412",
            "telephone_number": "813-258-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASCIO",
        "first_name": "JACOB",
        "middle_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.