Individual provider Active NPI

Lynn Marro, PT

  • Physical Therapist
  • Millsboro, DE
National Provider Identifier
1588093215
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014918 Issued in DE
Practice address
26396 Bay Farm Rd Unit 1
Millsboro, DE 19966-4993
Phone
(302) 947-9662
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 012623-1 NY
Physical Therapist 225100000X J1-0014918 DE Primary

Addresses

Primary practice location

26396 Bay Farm Rd Unit 1
Millsboro, DE 19966-4993

Mailing address

507 Airport Executive Park
Nanuet, NY 10954-5238
Phone (845) 262-5313

Other practice location 1

25 Liberty Square Mall
Stony Point, NY 10980-2400
Phone (845) 786-2800 ext. 183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140130000396 NY Practitioner - Physical Therapist in Private Practice 5799914362 Reassigns benefits to 1 organization
I20241206002209 DE Practitioner - Physical Therapist in Private Practice 5799914362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Therapy Services LLCGroup PAC ID 0749283083, 99 clinicians

Practice addresses (Care Compare)

26396 Bay Farm Rd
Unit 1
Millsboro, DE 19966-4993
Phone (302) 947-9662

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014918DEMDPhysical Therapist
012623-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients

Locations

26396 Bay Farm Rd
Unit 1
Millsboro, DE 19966
Phone (302) 629-5700

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

327 Route 59
Airmont, NY 10952
Phone (845) 356-2900

111 E 210th St
Bronx, NY 10467

88 Ashford Ave
Ste 101
Dobbs Ferry, NY 10522
Phone (845) 271-7400

408 Airport Executive Park
Nanuet, NY 10954
Phone (845) 425-0555

411 Theodore Fremd Ave
Rye, NY 10580
Phone (914) 921-6061

411 Theodore Fremd Ave
Ste 104
Rye, NY 10580
Phone (914) 921-6061

25 Liberty Square Mall
Stony Point, NY 10980
Phone (845) 356-2900

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1588093215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 AIRPORT EXECUTIVE PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545238",
            "telephone_number": "845-262-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26396 BAY FARM RD UNIT 1",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664993",
            "telephone_number": "302-947-9662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Liberty Square Mall",
            "address_purpose": "LOCATION",
            "city": "Stony Point",
            "state": "NY",
            "postal_code": "109802400",
            "country_code": "US",
            "telephone_number": "845-786-2800 x183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRO",
        "first_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012623-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.