Individual provider Active NPI

Mary Elizabeth Marcinkowski, P.T.

  • Physical Therapist
  • Portsmouth, NH
National Provider Identifier
1811224306
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0714 Issued in NH
Practice address
1 Greenleaf Woods Dr
Suite 101
Portsmouth, NH 03801-5437
Phone
(603) 319-8334
Fax
(603) 431-2940
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0714 NH Primary
Sports Physical Therapist 2251S0007X 0714 NH
Orthopedic Physical Therapist 2251X0800X 0714 NH

Addresses

Primary practice location

1 Greenleaf Woods Dr
Suite 101
Portsmouth, NH 03801-5437

Mailing address

1 Greenleaf Woods Dr
Suite 101
Portsmouth, NH 03801-5437
Phone (603) 319-8334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000124 NH Practitioner - Physical Therapist in Private Practice 9638184476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Greenleaf Woods Dr
Unit 101
Portsmouth, NH 03801-5437
Phone (603) 502-2649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Bodies in Balance, LLC Physical Therapist CurrentSince Aug 10, 2009 Accepting new patients

Locations

1 Greenleaf Woods Dr
Portsmouth, NH 03801
Phone (603) 502-2644

1 Greenleaf Woods Dr
Unit 101
Portsmouth, NH 03801
Phone (603) 319-8334

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1811224306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GREENLEAF WOODS DR",
            "address_2": "SUITE 101",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015437",
            "telephone_number": "603-319-8334",
            "fax_number": "603-431-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GREENLEAF WOODS DR",
            "address_2": "SUITE 101",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015437",
            "telephone_number": "603-319-8334",
            "fax_number": "603-431-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINKOWSKI",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "0714",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NH",
            "license": "0714",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NH",
            "license": "0714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.