Active NPI
Rizaruth Marcos Bravo, PT
- Physical Therapist
- Norwood, NJ
National Provider Identifier
1881716702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01183900
- Practice address
- 100 McClellen St
Norwood, NJ 07648-1555 - Phone
- (201) 768-6222
- NPI assigned
- Apr 3, 2007
- 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 | 40QA01183900 | NJ | Primary |
Addresses
Primary practice location
100 McClellen St
Norwood, NJ 07648-1555
Mailing address
941 Boulevard
Apt. B
New Milford, NJ 07646-6430
Phone (201) 483-3912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QA01183900 | Other | NJ | PHYSICAL THERAPIST LIC.# |
Other names 1
- Rizaruth Cortez Marcos
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Prospect Chiropractice Center | Physical Therapist | Past | Accepting new patients |
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": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881716702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 BOULEVARD",
"address_2": "APT. B",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076466430",
"telephone_number": "201-483-3912",
"fax_number": "201-483-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MCCLELLEN ST",
"city": "NORWOOD",
"state": "NJ",
"postal_code": "076481555",
"telephone_number": "201-768-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVO",
"first_name": "RIZARUTH",
"middle_name": "MARCOS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01183900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LIC.#",
"identifier": "40QA01183900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RIZARUTH",
"last_name": "MARCOS",
"middle_name": "CORTEZ",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Norwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.