Individual provider Active NPI

Charles A Marinello, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1831811462
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048987 Issued in NY
Practice address
945 Kings Highway
Brooklyn, NY 11223-2336
Phone
(718) 258-3300
NPI assigned
Sep 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 048987 NY Primary

Addresses

Primary practice location

945 Kings Highway
Brooklyn, NY 11223-2336

Mailing address

3319 Avenue N
Brooklyn, NY 11234-2605

Other practice location 1

3319 Avenue N
Brooklyn, NY 11234-2605
Phone (718) 258-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004001106 NY Practitioner - Physical Therapist in Private Practice 6103202890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3319 Ave N
Brooklyn, NY 11234-2605
Phone (718) 258-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048987NYMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Supreme Care Physical Therapy and Occupational Therapy, PLLC Physical Therapist CurrentSince Aug 11, 2022 Accepting new patients
Bienetre Medical PC Physical Therapist CurrentSince Jul 15, 2025 Accepting new patients

Locations

372 Avenue U
Ste 1A
Brooklyn, NY 11223
Phone (718) 258-3300

3319 Avenue N
Brooklyn, NY 11234
Phone (718) 258-3300

6161 Strickland Ave
Brooklyn, NY 11234
Phone (347) 894-1356

550 5th Ave
Brooklyn, NY 11215
Phone (347) 384-2870

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

945 Broadway
Woodmere, NY 11598
Phone (516) 374-5310

Organizations & group practices 2

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1831811462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 KINGS HIGHWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232336",
            "telephone_number": "718-258-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3319 Avenue N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112342605",
            "country_code": "US",
            "telephone_number": "718-258-3300",
            "fax_number": "718-258-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINELLO",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.