Marissa Nucci, PT
Individual provider Active NPI Physical Therapist · Wayne, NJ
NPI 1922435536 · NPPES record last updated Mar 12, 2018
Key facts
- NPI
- 1922435536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA01518200 (NJ)
- Practice address
- 601 Hamburg Turnpike
Suite 101
Wayne, NJ 07470-2049 - Phone
- (973) 942-4449
- Fax
- (973) 839-3653
- NPI assigned
- Sep 27, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01518200 | NJ | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 40QA01518200 | NJ | |
| Physical Therapist | 225100000X | 40QA01518200 | NJ | Yes |
Addresses
Primary practice location
601 Hamburg Turnpike
Suite 101
Wayne, NJ 07470-2049
Mailing address
601 Hamburg Turnpike
Suite 101
Wayne, NJ 07470-2049
Phone (973) 942-4449
Other names
- Marissa Rusin
Other providers in Wayne, NJ
- Northlands Orthopaedic Institute, LLC
- Alicia R Notkin
- Novalab Corp
- Margaret Nowak
- NP Solutions LLC
- Alexis Nunez
- NV Medical Aesthetics
- Nwakanma Vivian Nwadike
- Laura O'Connor
- Eileen O'Sullivan
All providers in Wayne, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.