Individual provider Active NPI

Marisa Nicole Mariani, PT, DPT

  • Physical Therapist
  • Scarsdale, NY
National Provider Identifier
1609608827
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053033 Issued in NY
Practice address
672 White Plains Rd
Scarsdale, NY 10583-5008
Phone
(914) 722-2400
Fax
(914) 722-2406
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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 053033 NY Primary

Addresses

Primary practice location

672 White Plains Rd
Scarsdale, NY 10583-5008

Mailing address

25 Bank St Apt 203D
White Plains, NY 10606-7001
Phone (914) 552-4597

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826001489 NY Practitioner - Physical Therapist in Private Practice 0345789194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

672 White Plains Rd
Scarsdale, NY 10583-5008
Phone (914) 722-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053033NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Aug 13, 2024 Accepting new patients

Locations

4276 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-5570

490 Driggs Ave
Brooklyn, NY 11211
Phone (347) 329-4572

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

1955 Route 52
Hopewell Junction, NY 12533
Phone (845) 897-0170

918 Ulster Ave
Kingston, NY 12401
Phone (845) 339-8900

1910 South Rd
Poughkeepsie, NY 12601
Phone (845) 454-0120

672 White Plains Rd
Scarsdale, NY 10583
Phone (914) 722-2400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1609608827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BANK ST APT 203D",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106067001",
            "telephone_number": "914-552-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 WHITE PLAINS RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835008",
            "telephone_number": "914-722-2400",
            "fax_number": "914-722-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANI",
        "first_name": "MARISA",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.