Active NPI
Marissa Labrosse, PT, DPT, ATC
- Physical Therapist
- Wexford, PA
National Provider Identifier
1962888784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025871
- Practice address
- 12311 Perry Hwy
Wexford, PA 15090-8344 - Phone
- (878) 332-4143
- NPI assigned
- Aug 4, 2015
- 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 | PT025871 | PA | Primary |
| Athletic Trainer | 2255A2300X | AT 004454 | OH |
Addresses
Primary practice location
12311 Perry Hwy
Wexford, PA 15090-8344
Mailing address
12311 Perry Hwy
Wexford, PA 15090-8344
Phone (878) 332-4143
Other practice location 1
1307 Federal St Ste 200
Pittsburgh, PA 15212-4769
Phone (412) 359-4646
Other practice location 2
8775 Norwin Ave
Irwin, PA 15642-2718
Phone (724) 765-1010
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mtodoroff284072@direct.ahn.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT025871 | PA | MD | Physical Therapist |
| AT 004454 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1962888784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12311 PERRY HWY",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908344",
"telephone_number": "878-332-4143",
"fax_number": "878-332-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12311 PERRY HWY",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908344",
"telephone_number": "878-332-4143"
}
],
"practiceLocations": [
{
"address_1": "1307 Federal St Ste 200",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152124769",
"country_code": "US",
"telephone_number": "412-359-4646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8775 Norwin Ave",
"address_purpose": "LOCATION",
"city": "Irwin",
"state": "PA",
"postal_code": "156422718",
"country_code": "US",
"telephone_number": "724-765-1010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LABROSSE",
"first_name": "MARISSA",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025871",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT 004454",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mtodoroff284072@direct.ahn.org",
"affiliation": "N",
"address_1": "12311 Perry Hwy",
"city": "Wexford",
"state": "PA",
"country_code": "US",
"postal_code": "150908344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.