Active NPI
Debra Marranca, PT
- Physical Therapist
- Kingston, PA
National Provider Identifier
1790750537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010869L
- Practice address
- 311 Market St
Kingston, PA 18704-5428 - Phone
- (570) 718-0933
- Fax
- (570) 718-0938
- NPI assigned
- Feb 22, 2006
- 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 | PT010869L | PA | Primary |
Addresses
Primary practice location
311 Market St
Kingston, PA 18704-5428
Mailing address
520 Philadelphia St
Indiana, PA 15701-3902
Phone (724) 463-7478
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820048 | Other | PA | BCNE/FPH |
| 421468 | Other | PA | HEALTH AMER/HEALTH ASSUR. |
| 50058479 | Other | PA | CAPITAL BLUE CROSS |
| WA1561111 | Other | PA | HIGHMARK BLUE SHIELD |
| 7101525 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010869L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790750537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 PHILADELPHIA ST",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013902",
"telephone_number": "724-463-7478",
"fax_number": "742-463-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MARKET ST",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045428",
"telephone_number": "570-718-0933",
"fax_number": "570-718-0938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRANCA",
"first_name": "DEBRA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT010869L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCNE/FPH",
"identifier": "820048",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMER/HEALTH ASSUR.",
"identifier": "421468",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50058479",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "WA1561111",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7101525",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.