Individual provider Active NPI

Cheryl Ann Marchiarullo, DPT

  • Physical Therapist
  • Totowa, NJ
National Provider Identifier
1962596064
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01327100 Issued in NJ
Practice address
590 Union Blvd
Totowa, NJ 07512-2443
Phone
(973) 237-1975
Fax
(973) 237-1977
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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 2305204829 VA
Physical Therapist 225100000X 40QA01327100 NJ Primary

Addresses

Primary practice location

590 Union Blvd
Totowa, NJ 07512-2443

Mailing address

590 Union Blvd
Totowa, NJ 07512-2443
Phone (973) 237-1975

Other identifiers 2

IdentifierTypeStateIssuer
2305204829OtherVASTATE LICENSE
40QA01327100OtherNJSTATE LICENSE

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

State licenses

LicenseStateTypeSpecialty
40QA01327100NJMDPhysical Therapist
2305204829VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Rehabilitation and Health Services of Virginia, LLC Physical Therapist PastSince Apr 4, 2005 Accepting new patients
Advanced Center for Physical Therapy, PLC Past Accepting new patients
Damon Physical Therapy Physical Therapist PastSince Jan 1, 2010 Accepting new patients

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1962596064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122443",
            "telephone_number": "973-237-1975",
            "fax_number": "973-237-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122443",
            "telephone_number": "973-237-1975",
            "fax_number": "973-237-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHIARULLO",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204829",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01327100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2305204829",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "40QA01327100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.