Demerise Danielle Marshall, DPT
Individual provider Active NPI Physical Therapist · Valatie, NY
NPI 1649849068 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1649849068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 2880 US Highway 9 Ste 1
Valatie, NY 12184-5423 - Phone
- (518) 758-6070
- NPI assigned
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Montefiore Medical Center
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
2880 US Hwy 9
Suite 1
Valatie, NY 12184-5423
Phone (518) 758-6070
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220524002302 | NY | Practitioner - Physical Therapist in Private Practice | 6305223744 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current |
Accepting new patients | |
| Montefiore Medical Center | Current |
Accepting new patients | |
| Access PT, OT, New York, PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
16 Maybrook Rd
Ste L
Campbell Hall, NY 10916
111 Maiden Ln
Kingston, NY 12401
Phone (845) 331-8590
14 Thiells Mount Ivy Rd
Ste 2
Pomona, NY 10970
Phone (845) 694-8808
2880 US Highway 9
Ste 1
Valatie, NY 12184
Phone (518) 758-6070
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NY | Yes |
Addresses
Primary practice location
2880 US Highway 9 Ste 1
Valatie, NY 12184-5423
Mailing address
136 Horizon View Dr
East Greenbush, NY 12061-2415
Phone (518) 610-1363
Other providers in Valatie, NY
- Lawrence Greitzer & Valerie Curry MDS
- Joan M. Levick Gold
- Nicole Lewis
- Joanne Loviglio
- Lynshay Anne Lagrimas Macias
- Elliot J Martin
- Martins Foods of South Burlington LLC
- Nancy Matusiak
- Ross B. McCabe
- Susan L Mekosh
All providers in Valatie, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.