Marcia Lillian Pocernich, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6163 Issued in MN

Practice address

5568 Clark Ave Ste 2
Cromwell, MN 55726-5004

Phone

(218) 644-0910

Fax

(218) 644-0911

NPI assigned

Oct 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy Partners IncGroup PAC ID 4486552593, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Therapy Partners, Inc.

  • Multi-Specialty Clinic/Center
  • Saint Paul, MN
  • NPI 1407809494

  MN, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Therapy Partners, Inc.

  • Multi-Specialty Clinic/Center
  • Hudson, WI
  • NPI 1629004031
  Care Compare group
• Therapy Partners Inc

  • Physical Therapist
  • Forest Lake, MN
  • NPI 1821179607
  NPD

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1659524932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 MINNEHAHA AVE W STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041033",
            "telephone_number": "651-748-4338",
            "fax_number": "651-748-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5568 CLARK AVE STE 2",
            "city": "CROMWELL",
            "state": "MN",
            "postal_code": "557265004",
            "telephone_number": "218-644-0910",
            "fax_number": "218-644-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Villa Court Dr",
            "address_purpose": "LOCATION",
            "city": "Cromwell",
            "state": "MN",
            "postal_code": "557264503",
            "country_code": "US",
            "telephone_number": "218-644-0910",
            "fax_number": "218-644-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POCERNICH",
        "first_name": "MARCIA",
        "middle_name": "LILLIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn F Bode, MD
• Cromwell Medical Clinic PLLC
• Cromwell Wright Area Fire District
• Gateway Family Health Clinic, LTD.
• Kelly J. Goeb, M.D.
• Villa Court LLC
• Villa Court LLC
• Villa Home Care LLC
• Villa Vista, Inc.

• All providers in Cromwell, MN
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.