- Practice location
- 30 Broad St # Streeta, New York, NY 10004-2304
- Phone
- 646-790-7454
- Fax
- 212-379-2076
- Last updated
- July 12, 2021
Marissa J. Fevelo is a Physical Therapist based in New York, NY. Marissa J. Fevelo practices in New York, NY and has the professional credentials of DPT. The NPI Number for Marissa J. Fevelo is 1215576293 and holds a License No. 040.0134120 (VT). The current practice location address for Marissa J. Fevelo is 30 Broad St # Streeta, New York, NY 10004-2304 and can be reached out via phone at 646-790-7454 and via fax at 212-379-2076.
Provider Profile Details
- NPI Number
- 1215576293
- Provider Name
- Marissa J. Fevelo
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 30 Broad St # Streeta, New York, NY 10004-2304
- Phone Number
- 646-790-7454
- Fax Number
- 212-379-2076
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 23, 2019
- Last Update Date
- July 12, 2021
- Certification Date
- July 12, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Broad St # Streeta
New York, NY 10004-2304 - City
- New York
- State
- New York
- Zip
- 10004-2304
- Phone Number
- 646-790-7454
- Fax Number
- 212-379-2076
Provider Business Mailing Address Details
- Address
- 307 5TH Ave Fl 6
New York, NY 10016-6575 - City
- New York
- State
- NY
- Zip
- 10016-6575
- Phone Number
- 212-759-2282
- Fax Number
- 212-379-2123
License Information
- License Number (1)
- 040.0134120
- License State (1)
- VT
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- 10470R
- License State (2)
- LA
- Taxonomy (2)
- Physical Therapist · 225100000X
- License Number (3)
- 044865
- License State (3)
- NY
- Taxonomy (3)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near New York, NY
View all Physical Therapists in New York →- 2080 Physical Therapy, P.c.Physical Therapist · NPI 1710373220
- 32ND St Chiropractic And Physical TherapyPhysical Therapist · NPI 1346022910
- 360 Physical Therapy Wellness PCPhysical Therapist · NPI 1053906271
- 38 W Physical TherapyPhysical Therapist · NPI 1063054567
- 3D Rehabilitation Services, PT PCPhysical Therapist · NPI 1093084550
- 43RD St. Physical Medicine And Rehabilitation, PLLCPhysical Therapist · NPI 1609149582
Frequently Asked Questions
What is the NPI number of Marissa J Fevelo, DPT?
The NPI number of Marissa J Fevelo, DPT is 1215576293. It was assigned on December 23, 2019 and is currently active in the NPPES registry.
What is the specialty of Marissa J Fevelo, DPT?
Marissa J Fevelo, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in VT under license number 040.0134120.
Where does Marissa J Fevelo, DPT practice?
The practice location is 30 Broad St # Streeta, New York, NY 10004-2304. The office can be reached at 646-790-7454 (phone) or 212-379-2076 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215576293 directly on the NPPES registry website.