Active NPI
Marlene Walters, P.T., D.P.T.
- Physical Therapist
- Bronx, NY
National Provider Identifier
1689940215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029355
- Practice address
- 2050 Prospect Ave
P10X
Bronx, NY 10457-3604 - Phone
- (718) 329-4678
- Fax
- (718) 364-5457
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029355 | NY | Primary |
Addresses
Primary practice location
2050 Prospect Ave
P10X
Bronx, NY 10457-3604
Mailing address
2050 Prospect Ave
P10X
Bronx, NY 10457-3604
Phone (914) 434-4370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Mercy College, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17 N Plank Rd
Suite 10
Newburgh, NY 12550-2111
Phone (845) 800-9305
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029355 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Caring PT Group, PLLC | Physical Therapist | Current | Accepting new patients |
| Essential OT, PT, SLP & Psychology Services, PLLC | Current | Accepting new patients | |
| Complete SLP, OT, PT & Psychology Services, PLLC | Current | Accepting new patients | |
| Essential Therapy Services of NJ | Physical Therapist | Past | Accepting new patients |
Locations
17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Newburgh, NY
- NPI 1659896603
Physical Therapist
-
- Contractor
- Bronx, NY
- NPI 1437616026
-
- Contractor
- Baldwin, NY
- NPI 1093226805
-
- Occupational Therapist
- Rockaway, NJ
- NPI 1730852070
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1689940215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 PROSPECT AVE",
"address_2": "P10X",
"city": "BRONX",
"state": "NY",
"postal_code": "104573604",
"telephone_number": "914-434-4370",
"fax_number": "718-364-5457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 PROSPECT AVE",
"address_2": "P10X",
"city": "BRONX",
"state": "NY",
"postal_code": "104573604",
"telephone_number": "718-329-4678",
"fax_number": "718-364-5457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "MARLENE",
"name_prefix": "Dr.",
"credential": "P.T., D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.