Marisa Nicole Raguso, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

101218-01 Issued in NY

Practice address

991 Post Rd E
Westport, CT 06880-5363

Phone

(347) 377-0335

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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 and National Provider Directory roles.

• Reform Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Westport, CT
  • NPI 1629802830
  NPD Authorized official
• Joints in Motion Physical Therapy and Rehabilitation, PLLC

  • Physical Therapist
  • Bronx, NY
  • NPI 1043688351
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1568014603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 REYNOLDS DR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068244600",
            "telephone_number": "347-266-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805363",
            "telephone_number": "347-377-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUSO",
        "first_name": "MARISA",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "101218-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J. Racca, PT, MSPT, CEAS
• Rachel a. Dubraski, LMFT, LLC
• Rachel Kopanski, LLC
• Snieguole Radzeviciene, MD
• Emma Ragusa, LCSW
• Jeannette Ramirez, PHARMD
• Louise J. Randazzo, DC
• Candice Rangel
• Susan G Raphael, LMFT
• Somayeh Rasht, CRT

• Physical Therapist in Westport, CT
• Providers in Westport, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.