Michelle Ann Marino, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13349 Issued in MA

Practice address

11 Bartlett Rd
Winthrop, MA 02152-2912

Phone

(617) 846-0832

Fax

(617) 846-2594

NPI assigned

Feb 21, 2007

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 MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wells Physical Therapy and AssociatesGroup PAC ID 8325466915, 2 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 and National Provider Directory roles.

• Wells Physical Therapy & Associates

  • Physical Therapy Clinic/Center
  • Revere, MA
  • NPI 1679118632

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Broadway Family Chiropractic, Inc

  • Chiropractor
  • Revere, MA
  • NPI 1134241979
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912042193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 UNDINE AVE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522563",
            "telephone_number": "617-846-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BARTLETT RD",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522912",
            "telephone_number": "617-846-0832",
            "fax_number": "617-846-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "13349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lse PHV LLC
• Laurena Macdougall Lyons, M.ED., LMFT
• Emily R Maddalone
• Nicolette Star Maggiolo, RDN, LDN
• Ann Mahoney, LCSW
• Danielle Martino, RPH
• Matthew J. Kaim
• Maria J Mazzone, P.T.
• Kelly McClory, PHARMD
• Paul Charles McGee, D.C.

• Physical Therapist in Winthrop, MA
• Providers in Winthrop, MA by specialty
• Physical Therapist in Massachusetts

• 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.
• 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.