Marissa L Bush, DPT
Physical Therapist, Pediatrics in Wayne, New Jersey
1558675397- Practice location
- 309 Black Oak Ridge RD, Wayne, NJ 07470-6504
- Phone
- 973-956-2900
- Fax
- 973-956-7900
- Last updated
- January 29, 2014
Marissa L Bush is a Physical Therapist, Pediatrics based in Wayne, NJ. Marissa L Bush practices in Wayne, NJ and has the professional credentials of DPT. The NPI Number for Marissa L Bush is 1558675397 and holds a License No. 40QA01360300 (NJ). The current practice location address for Marissa L Bush is 309 Black Oak Ridge RD, Wayne, NJ 07470-6504 and can be reached out via phone at 973-956-2900 and via fax at 973-956-7900.
Provider Profile Details
- NPI Number
- 1558675397
- Provider Name
- Marissa L Bush
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 309 Black Oak Ridge RD, Wayne, NJ 07470-6504
- Phone Number
- 973-956-2900
- Fax Number
- 973-956-7900
- Primary Taxonomy
- Physical Therapist, Pediatrics · 2251P0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 4, 2010
- Last Update Date
- January 29, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 309 Black Oak Ridge RD
Wayne, NJ 07470-6504 - City
- Wayne
- State
- New Jersey
- Zip
- 07470-6504
- Phone Number
- 973-956-2900
- Fax Number
- 973-956-7900
Provider Business Mailing Address Details
- Address
- 1 W Ridgewood Ave
Suite 104
Paramus, NJ 07652-2359 - City
- Paramus
- State
- NJ
- Zip
- 07652-2359
- Phone Number
- 201-652-1415
- Fax Number
- 201-652-0391
License Information
- License Number
- 40QA01360300
- License State
- NJ
- Taxonomy
- Physical Therapist, Pediatrics · 2251P0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapist, Pediatrics providers near Wayne, NJ
View all Physical Therapist, Pediatrics providers in Wayne →Frequently Asked Questions
What is the NPI number of Marissa L Bush, DPT?
The NPI number of Marissa L Bush, DPT is 1558675397. It was assigned on August 4, 2010 and is currently active in the NPPES registry.
What is the specialty of Marissa L Bush, DPT?
Marissa L Bush, DPT is registered under the primary taxonomy Physical Therapist, Pediatrics (code 2251P0200X), licensed in NJ under license number 40QA01360300.
Where does Marissa L Bush, DPT practice?
The practice location is 309 Black Oak Ridge RD, Wayne, NJ 07470-6504. The office can be reached at 973-956-2900 (phone) or 973-956-7900 (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 1558675397 directly on the NPPES registry website.