| Marina Revich-kravzov, MS OTR/L | |
|
70 Ellsworth Terr., Glen Rock, NJ 07452-0745 | |
| (201) 389-6487 | |
| (201) 389-6487 |
| Full Name | Marina Revich-kravzov |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 9 Years |
| Location | 70 Ellsworth Terr., Glen Rock, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740797869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR00808100 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Back2health Chiropractic Center Llc | 0143390013 | 2 |
| Sportsmed Pt Llc | 0749535805 | 180 |
| Provider Name | Back2health Chiropractic Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114197597 PECOS PAC ID: 0143390013 Enrollment ID: O20080604000134 |
| Provider Name | Mobile Therapy Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1326495615 PECOS PAC ID: 6305130840 Enrollment ID: O20160808000021 |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689022295 PECOS PAC ID: 6507832573 Enrollment ID: O20160919002691 |
| Provider Name | Sportsmed Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841787645 PECOS PAC ID: 0749535805 Enrollment ID: O20180614001056 |
| Provider Name | At Home By Enhance Therapies Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124603246 PECOS PAC ID: 4183033210 Enrollment ID: O20210503001929 |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Revich-kravzov, MS OTR/L 70 Ellsworth Terr., Glen Rock, NJ 07452 Ph: (201) 389-6487 | Marina Revich-kravzov, MS OTR/L 70 Ellsworth Terr., Glen Rock, NJ 07452-0745 Ph: (201) 389-6487 |
Mackenzie Cook, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 266 Harristown Rd Ste 200, Glen Rock, NJ 07452 Phone: 201-445-7000 | |
Marlisa Yalong, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 266 Harristown Rd Ste 200, Glen Rock, NJ 07452 Phone: 201-273-9513 | |
Kristina Mae Anzilotti, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 266 Harristown Rd, Glen Rock, NJ 07452 Phone: 551-214-0918 | |
Kendall Rae Ackerman, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 266 Harristown Rd Ste 304, Glen Rock, NJ 07452 Phone: 201-445-7000 | |
Rebecca Gasin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 266 Harristown Rd Ste 304, Glen Rock, NJ 07452 Phone: 201-345-5798 | |
Mr. Felipe Vasquez-cardenas, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 566 S Broad St, Glen Rock, NJ 07452 Phone: 201-543-3902 | |
Kalista Concetta Javenes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Harristown Rd, Glen Rock, NJ 07452 Phone: 201-297-9167 |