Active NPI
Marissa Ann Drees, DPT
- Physical Therapist
- Kingston, NY
National Provider Identifier
1922879451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 051124
- Practice address
- 918 Ulster Ave
Kingston, NY 12401-1344 - Phone
- (845) 802-7080
- NPI assigned
- Jan 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 051124 | NY | Primary |
| Physical Therapist | 225100000X | SC |
Addresses
Primary practice location
918 Ulster Ave
Kingston, NY 12401-1344
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
10879 Clemson Blvd.
Seneca, SC 29678
Phone (864) 482-0085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NY
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051124 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Proaxis Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Greenville Proaxis Therapy LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33205 Collection Ctr Dr
Chicago, IL 60693
103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753
10879 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0085
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.
-
- Physical Therapist
- Greenville, SC
- NPI 1669457859
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1922879451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 ULSTER AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124011344",
"telephone_number": "845-802-7080"
}
],
"practiceLocations": [
{
"address_1": "10879 Clemson Blvd.",
"address_purpose": "LOCATION",
"city": "Seneca",
"state": "SC",
"postal_code": "29678",
"country_code": "US",
"telephone_number": "864-482-0085",
"fax_number": "864-482-0072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DREES",
"first_name": "MARISSA",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "051124",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
- Audrey Downing, LMT
- Melissa Downing
- Dr Cutugno Oncology and Hematology Specialist PLLC
- Dr Lily Zhang, DMD
- Alexander Drakontaidis
- Christine Dremmel, LCSW-R
- Lawrence Edward Dresdale, PH.D.
- Katherine Driscoll, MS, CCC-SLP
- DRS. Chasin & Guarente, Optometrists, P.C.
- DRS. Engel and Lindgren Family Medicine, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.