Individual provider Active NPI

Marina Sperling, MSPT

  • Physical Therapist
  • Feasterville Trevose, PA
National Provider Identifier
1720182298
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018189 Issued in PA
Practice address
826 Bustleton Pike
Suite 109
Feasterville Trevose, PA 19053-6064
Phone
(215) 364-0100
Fax
(267) 364-5393
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018189 PA Primary
Ergonomics Physical Therapist 2251E1200X PT018189 PA
Neurology Physical Therapist 2251N0400X PT018189 PA
Orthopedic Physical Therapist 2251X0800X PT018189 PA

Addresses

Primary practice location

826 Bustleton Pike
Suite 109
Feasterville Trevose, PA 19053-6064

Mailing address

826 Bustleton Pike
Suite 109
Feasterville Trevose, PA 19053-6064
Phone (215) 364-0100

Other identifiers 8

IdentifierTypeStateIssuer
185955OtherPAPABS
000000254580OtherAMERICHOICE
1720182298OtherPABRAVO
254580OtherUNISON
2762932000OtherPAIBC
30061120OtherPAKEYSTONE MERCY
P00692886OtherPARAILROAD MEDICARE
102335990-0001MedicaidPA

Other names 1

  • Marina Chanin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070601000200 PA Practitioner - Physical Therapist in Private Practice 4587762380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

826 Bustleton Pike
Suite 109
Feasterville Trevose, PA 19053-6002
Phone (215) 364-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Touch PT Physical Therapist CurrentSince Jul 23, 2015 Accepting new patients
PMR Medical and Diagnostic, PC Past Accepting new patients
Dynamic Therapy Services of Pennsylvania LLC Physical Therapist Past Accepting new patients
Functionfirst Physical Therapist PastSince Jul 23, 2015 Accepting new patients

Locations

826 Bustleton Pike
Ste 109
Fstrvl Trvose, PA 19053
Phone (215) 364-0100

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.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1720182298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 BUSTLETON PIKE",
            "address_2": "SUITE 109",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536064",
            "telephone_number": "215-364-0100",
            "fax_number": "267-364-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 BUSTLETON PIKE",
            "address_2": "SUITE 109",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536064",
            "telephone_number": "215-364-0100",
            "fax_number": "267-364-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERLING",
        "first_name": "MARINA",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018189",
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "PA",
            "license": "PT018189",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "PA",
            "license": "PT018189",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT018189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PABS",
            "identifier": "185955",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "000000254580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO",
            "identifier": "1720182298",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "254580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2762932000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30061120",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00692886",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102335990-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINA",
            "last_name": "CHANIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.