Individual provider Active NPI

Maryann Marchetta, PHYSICAL THERAPIST

  • Physical Therapist
  • Palm Springs, FL
National Provider Identifier
1649290677
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20092 Issued in FL
Practice address
3230 Lake Worth Rd Ste C
Palm Springs, FL 33461
Phone
(561) 968-7788
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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 PT20092 FL Primary

Addresses

Primary practice location

3230 Lake Worth Rd Ste C
Palm Springs, FL 33461

Mailing address

3230 Lake Worth Rd Ste C
Palm Springs, FL 33461-3694
Phone (561) 968-7788

Other practice location 1

906 S Federal Hwy
Suite B
Boynton Beach, FL 33435-5671
Phone (561) 738-0805

Other practice location 2

906 S Federal Hwy
Suite B
Boynton Beach, FL 33435-5671
Phone (561) 738-0805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1649290677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 LAKE WORTH RD STE C",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613694",
            "telephone_number": "561-968-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 LAKE WORTH RD STE C",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-968-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 S Federal Hwy",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334355671",
            "country_code": "US",
            "telephone_number": "561-738-0805",
            "fax_number": "561-738-0815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "906 S Federal Hwy",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334355671",
            "country_code": "US",
            "telephone_number": "561-738-0805",
            "fax_number": "561-738-0815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHETTA",
        "first_name": "MARYANN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.