Active NPI
Marcello Oliveri, DPT
- Physical Therapist
- East Stroudsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT028263
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DC
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.48 of 100
- Quality
- 86.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Pivot Physical Therapy of Pennsylvania, LLC | Physical Therapist | Current | Accepting new patients |
| Procare Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Mountain Valley Orthopedics, P.C. | Physical Therapist | Current | 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.
-
- Orthopaedic Surgery Physician
- East Stroudsburg, PA
- NPI 1538226519
Physical Therapist
-
- Physical Therapist
- South Abington Township, PA
- NPI 1881132488
-
- Clinic/Center
- Winchester, VA
- NPI 1033142294
DC, Physical Therapist
-
- Physical Therapist
- Towanda, PA
- NPI 1003876319
-
- Occupational Therapist
- Rehoboth Beach, DE
- NPI 1225637051
Physical Therapist
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.