Individual provider Active NPI

Marnie Wortman, DPT

  • Physical Therapist
  • Midland Park, NJ
National Provider Identifier
1740508811
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01293400 Issued in NJ
Practice address
656 Godwin Ave
Midland Park, NJ 07432-1405
Phone
(201) 857-8899
Fax
(973) 228-3778
NPI assigned
May 13, 2010
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01293400 NJ Primary

Addresses

Primary practice location

656 Godwin Ave
Midland Park, NJ 07432-1405

Mailing address

474 Bloomfield Ave
Caldwell, NJ 07006-5402
Phone (973) 228-3708

Other practice location 1

474 Bloomfield Ave
Caldwell, NJ 07006-5402
Phone (973) 228-3708

Other names 1

  • Marnie Verno Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140613000726 NJ Practitioner - Physical Therapist in Private Practice 8022232032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iron Physical TherapyGroup PAC ID 6002092228, 8 clinicians

Practice addresses (Care Compare)

474 Bloomfield Ave
Caldwell, NJ 07006-5402
Phone (973) 228-4766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01293400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Iron Physical Therapy CurrentSince May 1, 2014 Accepting new patients

Locations

474 Bloomfield Ave
Caldwell, NJ 07006
Phone (973) 228-3708

656 Godwin Ave
Midland Park, NJ 07432
Phone (201) 857-8899

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1740508811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065402",
            "telephone_number": "973-228-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321405",
            "telephone_number": "201-857-8899",
            "fax_number": "973-228-3778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "474 Bloomfield Ave",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "NJ",
            "postal_code": "070065402",
            "country_code": "US",
            "telephone_number": "973-228-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORTMAN",
        "first_name": "MARNIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01293400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARNIE",
            "last_name": "VERNO",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.