Active NPI
Marissa Collins, DPT
- Physical Therapist
- N Charleston, SC
National Provider Identifier
1790233484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8280
- Practice address
- 9241 University Blvd
Ste B-1
N Charleston, SC 29406-9349 - Phone
- (843) 764-4887
- Fax
- (843) 864-4509
- NPI assigned
- Sep 12, 2016
- Last updated
- Jun 15, 2023
- Sex
- Female
- 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 | 8280 | SC | Primary |
Addresses
Primary practice location
9241 University Blvd
Ste B-1
N Charleston, SC 29406-9349
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other names 1
- Marissa Nocera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230301001421 | FL | Practitioner - Physical Therapist in Private Practice | 7416234976 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8280 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabworks LLC | Physical Therapist | Current | Accepting new patients |
Locations
7273 Vanderbilt Beach Rd
Ste 18
Naples, FL 34119
Phone (239) 734-3404
Networks
- Freedom Health HMO Network
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.
-
- Physical Therapist
- Naples, FL
- NPI 1114550266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1790233484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9241 UNIVERSITY BLVD",
"address_2": "STE B-1",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294069349",
"telephone_number": "843-764-4887",
"fax_number": "843-864-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MARISSA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISSA",
"last_name": "NOCERA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in N Charleston, SC
- Clta, LLC (BrightStar of Charleston)
- Coastal Chiropractic Center, LLC (Coastal Chiropractic Family Wellness Center)
- Coastal Vascular & Vein Center PA
- Coastal Womens Care
- Constance S Cody
- Concentra Health Services, Inc.
- Mary Celeste Conlon, FNP
- Shannon M Conrad, D.O.
- Rosaleen Cook
- Marion Leslie Cooper II, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.