Individual provider Active NPI

Marissa Lynn Drenth, DPT

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1861221947
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42080 Issued in FL
Practice address
3033 Winkler Ave Unit 100
Fort Myers, FL 33916-9523
Phone
(239) 277-7070
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT42080 FL Primary

Addresses

Primary practice location

3033 Winkler Ave Unit 100
Fort Myers, FL 33916-9523

Mailing address

21381 S Branch Blvd Unit 2101
Estero, FL 33928-9747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829000224 FL Practitioner - Physical Therapist in Private Practice 4789123134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gardner Orthopedics LLCGroup PAC ID 2668793332, 23 clinicians

Practice addresses (Care Compare)

3033 Winkler Ave
Unit 100
Fort Myers, FL 33916-9523
Phone (239) 277-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Orthopedics, LLC CurrentSince Aug 8, 2024 Accepting new patients
Gardner Orthopedics LLC CurrentSince Aug 8, 2024 Accepting new patients

Locations

3033 Winkler Ave
Unit 100
Fort Myers, FL 33916
Phone (239) 277-7070

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1861221947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21381 S BRANCH BLVD UNIT 2101",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WINKLER AVE UNIT 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169523",
            "telephone_number": "239-277-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENTH",
        "first_name": "MARISSA",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.