Olivia J Marzullo

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2256 Issued in CT

Practice address

263 Pearl St # B
Middletown, CT 06457-2745

Phone

(860) 639-7701

NPI assigned

Aug 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1760110100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 PEARL ST # B",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572745",
            "telephone_number": "860-639-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 PEARL ST # B",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572745",
            "telephone_number": "860-639-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZULLO",
        "first_name": "OLIVIA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "2256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Martinez
• Kelly A Martinez, APRN
• Kristen Martinez
• Mia Martinez, DPT
• Michael F. Marvin, M.D.
• Kristy G. Mascarenhas, M.D.
• Olivia Mason
• Kate Elisabeth Massa, LPC-A
• Massage for the Soul LLC
• Ellen Massey, APRN

• Physical Therapy Assistant in Middletown, CT
• Providers in Middletown, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.