NPIMap

Organization Active NPI

Denise Marino

  • Multi-Specialty Clinic/Center
  • Exton, PA
National Provider Identifier
1609238971
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
PT014270L Issued in PA
Legal business name
DENISE MARINO
Practice address
694 Wharton Blvd
Exton, PA 19341-1189
Phone
(610) 715-2702
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Denise Marino, MPTNPI 1255881124
Title
Physical Therapist
Phone
(610) 269-1955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X PT014270L PA
Multi-Specialty Clinic/Center 261QM1300X PT014270L PA Primary

Addresses

Primary practice location

694 Wharton Blvd
Exton, PA 19341-1189

Mailing address

1003 Kimberly LN
Downingtown, PA 19335-4495

Other identifiers 1

IdentifierTypeStateIssuer
0019300680001MedicaidPA

Other names 1

  • CDM-PT, Inc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1609238971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 KIMBERLY LN",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 WHARTON BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411189",
            "telephone_number": "610-715-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE MARINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "610-269-1955",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "PT014270L",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PA",
            "license": "PT014270L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019300680001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDM-PT, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.