Marissa Deangelo

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

601 Cleveland St Ste 525
Clearwater, FL 33755-4179

Phone

(800) 420-1036

NPI assigned

Jan 16, 2023

Last updated

Jan 16, 2023By the provider in NPPES

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 FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• QRM Plus Florida LLC

  dba Element Health Services

  • Physical Therapist
  • Clearwater, FL
  • NPI 1851061394
  Medicare reassignment NPD

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1679288401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLEVELAND ST STE 525",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CLEVELAND ST STE 525",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554179",
            "telephone_number": "800-420-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELO",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory K Deal, LMHC
• Thomas Deal, M.D.
• Dean J Gobo MD PLC
• Jenner Dean
• Kendra Denise Deangelis, M.D.
• Deanna Oliver (A Center For Massage)
• Kelli Deaton
• Amanda Deaver, PT
• Debbie a. Noe, LMHC
• Deborah L. Pierce, Arnp, PA

• Physical Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.