Johana Marin

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

011916 Issued in NY

Practice address

22 Robert R Kasin Way
Beacon, NY 12508-1559

Phone

(845) 831-8704

NPI assigned

Jan 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1699428037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 TOWN VIEW DR",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125907021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ROBERT R KASIN WAY",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125081559",
            "telephone_number": "845-831-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "JOHANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "011916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.therapy.nethealth.com/",
            "affiliation": "N",
            "address_1": "22 Robert R Kasin Way",
            "city": "Beacon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125081559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick M Malouf, DC
• Laquila Manning
• Cyril Mansperger, DDS
• Michael J. Manza, LCSW
• Marie S Jean
• Sarah Ritter Marino, PHARMD
• Laina Giselle Mason, LCSW
• Douglas Owen Massey, NP
• Brandon Matassa, MHC-LP; MSED
• Maria Christina Matheson, MST

• Physical Therapy Assistant in Beacon, NY
• Providers in Beacon, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.