Laura Gavan Marucci, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027086 Issued in NY

Practice address

16 Schuman Rd
Millwood, NY 10546-1111

Phone

(914) 488-5440

Fax

(914) 488-5441

NPI assigned

Dec 4, 2014

Last updated

Dec 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Boston University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Castle Physical Therapy PCGroup PAC ID 2365534401, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Castle Physical Therapy PC

  dba New Castle Physical Therapy and Personal Training

  • Physical Therapist
  • Millwood, NY
  • NPI 1043437239
  Medicare reassignment Care Compare group NPD
• SRM Physical Therapy, PC

  dba SRM Women's Health Physical Therapy

  • Physical Therapy Clinic/Center
  • Millwood, NY
  • NPI 1336477066
  NPD

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1851798987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SCHUMAN RD",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461111",
            "telephone_number": "914-488-5440",
            "fax_number": "914-488-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SCHUMAN RD",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461111",
            "telephone_number": "914-488-5440",
            "fax_number": "914-488-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUCCI",
        "first_name": "LAURA",
        "middle_name": "GAVAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K Carson Psychology PLLC
• Janice Marie Kochevar, RN, NP
• Matthew John Kriniske, MPH, OTR
• Ginny Mackles, LMHC
• Sophia Makrigianis, RPH
• Matthew Marucci, MSPT, OCS, CSCS
• Sonia Mathisson, MS, RD, IBCLC
• Adam Russell Messina, PT
• Byron Miller, OTR/L
• New Castle Physical Therapy PC (New Castle Physical Therapy and Personal Training)

• Physical Therapist in Millwood, NY
• Providers in Millwood, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.