Individual provider Active NPI

Joseph M Marcelli Jr., PT, DPT

  • Physical Therapy Clinic/Center
  • Lakewood, OH
National Provider Identifier
1699531301
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT020898 Issued in OH
Practice address
2067 Warren Rd Apt Bottom
Lakewood, OH 44107-5851
Phone
(440) 645-1577
NPI assigned
Feb 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT020898 OH Primary

Addresses

Primary practice location

2067 Warren Rd Apt Bottom
Lakewood, OH 44107-5851

Mailing address

2067 Warren Rd Apt Bottom
Lakewood, OH 44107-5851
Phone (440) 645-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411004657 OH Practitioner - Physical Therapist in Private Practice 8729427687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020898OHMDPhysical Therapy Clinic/Center

Interoperability endpoints

  • Direct secure messaging: jmarcelli305844@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1699531301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 WARREN RD APT BOTTOM",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075851",
            "telephone_number": "440-645-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 WARREN RD APT BOTTOM",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075851",
            "telephone_number": "440-645-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLI",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT020898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.