Individual provider Active NPI

Marcello Oliveri, DPT

  • Physical Therapist
  • East Stroudsburg, PA
National Provider Identifier
1750911236
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028263 Issued in PA
Practice address
600 Plaza CT
East Stroudsburg, PA 18301-8263
Phone
(570) 517-0511
Fax
(570) 421-7091
NPI assigned
Jan 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 PT028263 PA Primary

Addresses

Primary practice location

600 Plaza CT
East Stroudsburg, PA 18301-8263

Mailing address

600 Plaza CT
East Stroudsburg, PA 18301-8263
Phone (570) 517-0511

Other practice location 1

123 N Shirk Rd Ste 2
New Holland, PA 17557-9714
Phone (717) 466-2044

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200211000748 PA Practitioner - Physical Therapist in Private Practice 8527494574 Reassigns benefits to 2 organizations
I20240202003947 DC Practitioner - Physical Therapist in Private Practice 8527494574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist CurrentSince Jan 20, 2020 Accepting new patients
Procare Physical Therapy Inc Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Mountain Valley Orthopedics, P.C. Physical Therapist CurrentSince Feb 16, 2022 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist Past Accepting new patients

Locations

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

600 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 421-7020

600 Plaza Ct
Ste C
East Stroudsburg, PA 18301
Phone (570) 421-7020

684 W Main St
Unit E
New Holland, PA 17557
Phone (717) 466-2044

123 N Shirk Rd
Ste 2
New Holland, PA 17557
Phone (717) 466-2044

655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142

130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 5

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1750911236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PLAZA CT",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018263",
            "telephone_number": "570-517-0511",
            "fax_number": "570-421-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PLAZA CT",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018263",
            "telephone_number": "570-517-0511",
            "fax_number": "570-421-7091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 N Shirk Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "New Holland",
            "state": "PA",
            "postal_code": "175579714",
            "country_code": "US",
            "telephone_number": "717-466-2044",
            "fax_number": "717-466-2046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVERI",
        "first_name": "MARCELLO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.