Active NPIIndividual provider

Rebekah Marino, PT, DPT, ATC

Physical Therapist in Fair Lawn, New Jersey

NPI Number1669058467
Practice location
28-12 Broadway, Fair Lawn, NJ 07410-3924
Fax
210-475-8139
Last updated
December 28, 2021

Rebekah Marino is a Physical Therapist based in Fair Lawn, NJ. Rebekah Marino practices in Fair Lawn, NJ and has the professional credentials of PT, DPT, ATC. The NPI Number for Rebekah Marino is 1669058467 and holds a License No. 047173-01 (NY). The current practice location address for Rebekah Marino is 28-12 Broadway, Fair Lawn, NJ 07410-3924 and can be reached out via phone at 201-475-8482 and via fax at 210-475-8139.

Provider Profile Details

NPI Number
1669058467
Provider Name
Rebekah Marino
Credential
PT, DPT, ATC
Provider Entity Type
Individual
Gender
Female
Address
28-12 Broadway, Fair Lawn, NJ 07410-3924
Phone Number
201-475-8482
Fax Number
210-475-8139
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2021
Last Update Date
December 28, 2021
Certification Date
December 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
28-12 Broadway
Fair Lawn, NJ 07410-3924
Zip
07410-3924
Phone Number
201-475-8482
Fax Number
210-475-8139
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
City
Islandia
State
NY
Zip
11749-5258
Phone Number
631-580-5200
Fax Number
631-760-8306

License Information

License Number (1)
047173-01
License State (1)
NY
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
40QA01997200
License State (2)
NJ
Taxonomy (2)
Physical Therapist · 225100000X
License Number (3)
J1-0014425
License State (3)
DE
Taxonomy (3)
Physical Therapist · 225100000X
License Number (4)
28407
License State (4)
MD
Taxonomy (4)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rebekah Marino, PT, DPT, ATC?

The NPI number of Rebekah Marino, PT, DPT, ATC is 1669058467. It was assigned on March 22, 2021 and is currently active in the NPPES registry.

What is the specialty of Rebekah Marino, PT, DPT, ATC?

Rebekah Marino, PT, DPT, ATC is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 047173-01.

Where does Rebekah Marino, PT, DPT, ATC practice?

The practice location is 28-12 Broadway, Fair Lawn, NJ 07410-3924. The office can be reached at 201-475-8482 (phone) or 210-475-8139 (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 1669058467 directly on the NPPES registry website.

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