Marissa L Bush, D.P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

40QA01360300 Issued in NJ

Practice address

309 Black Oak Ridge Rd
Wayne, NJ 07470-6504

Phone

(973) 956-2900

Fax

(973) 956-7900

NPI assigned

Aug 4, 2010

Last updated

Jan 29, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Chiropractic Works, LLC

  dba Oakland Spine and Physical Therapy

  • Chiropractor
  • Oakland, NJ
  • NPI 1043468895
  Medicare reassignment NPD
• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380

  Pediatrics

  Medicare reassignment NPD
• United Sports Care & Physical Therapy

  • Occupational Therapist
  • Cedar Knolls, NJ
  • NPI 1972881233

  Pediatrics

  Medicare reassignment NPD
• Sportscare Institute, Inc.

  • Physical Therapist
  • Toms River, NJ
  • NPI 1275501074
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1558675397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "address_2": "SUITE 104",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-652-1415",
            "fax_number": "201-652-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BLACK OAK RIDGE RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706504",
            "telephone_number": "973-956-2900",
            "fax_number": "973-956-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "MARISSA",
        "middle_name": "L",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA01360300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olufunke Buraimoh, DPM
• Cindy Ann Burns, PA-C
• Les A Burns, MD PA
• Alan Mark Burton, DMD
• Adam Busch
• Tracey L Byrne, PT
• Socorro Caballery-Smith, MSW, LCSW
• Onely Cabrera
• Luisa Cacciaguida, MD
• John Joseph Callaghan, M.D.

• Pediatric Physical Therapist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Pediatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.