Active NPI
Samantha Marocco
- Physical Therapist
- Saranac Lake, NY
National Provider Identifier
1851622690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015545
- Practice address
- 2233 State Route 86
Saranac Lake, NY 12983-5644 - Phone
- (518) 897-2697
- Fax
- (518) 897-2451
- NPI assigned
- Jan 19, 2010
- 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 | 015545 | NY | Primary |
Addresses
Primary practice location
2233 State Route 86
Saranac Lake, NY 12983-5644
Mailing address
2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 897-2697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015545 | Other | NY | NYS LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015545 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1851622690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 STATE ROUTE 86",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129835644",
"telephone_number": "518-897-2697",
"fax_number": "518-897-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 STATE ROUTE 86",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129835644",
"telephone_number": "518-897-2697",
"fax_number": "518-897-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROCCO",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-19",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "015545",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saranac Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.