Individual provider Active NPI

Marvin M Rarama, DPT

  • Contractor
  • Schererville, IN
National Provider Identifier
1932223336
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
05008951A Issued in IN
Practice address
1505 US Highway 41
Schererville, IN 46375-1321
Phone
(219) 322-5560
Fax
(219) 322-1549
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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 IL
Contractor 171W00000X 05008951A IN Primary

Addresses

Primary practice location

1505 US Highway 41
Schererville, IN 46375-1321

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 590-4047

Other practice location 1

17045 Torrence Ave Unit 300
Lansing, IL 60438-1014
Phone (708) 418-3580

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

OrganizationSpecialtyStatusNew patients
Access Therapies at Home Past Accepting new patients
David E Ross, Jr, MD,PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marvin.rarama.p9@direct.athleticoltd.nextgenshare.com

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1932223336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-590-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 US HIGHWAY 41",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751321",
            "telephone_number": "219-322-5560",
            "fax_number": "219-322-1549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17045 Torrence Ave Unit 300",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "IL",
            "postal_code": "604381014",
            "country_code": "US",
            "telephone_number": "708-418-3580",
            "fax_number": "708-418-3931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RARAMA",
        "first_name": "MARVIN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IN",
            "license": "05008951A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.