| Marissa Joy Nazareno, DPT | |
|
20059 King Rd, Woodhaven, MI 48183-1032 | |
| (734) 365-5112 | |
| (734) 365-5115 |
| Full Name | Marissa Joy Nazareno |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 20059 King Rd, Woodhaven, Michigan |
| 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 |
|---|---|---|---|
| 1003420589 | NPI | - | NPPES |
| 5501019682 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501019682 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Team Rehabilitation Services Llc | 2264479518 | 540 |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Provider Name | Team Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548932619 PECOS PAC ID: 2264479518 Enrollment ID: O20211027001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Joy Nazareno, DPT 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644 | Marissa Joy Nazareno, DPT 20059 King Rd, Woodhaven, MI 48183-1032 Ph: (734) 365-5112 |
Dr. Paula Jane Boardman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20900 West Rd, Woodhaven, MI 48183 Phone: 734-671-7255 Fax: 734-671-3701 | |
Rebecca C Luker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20059 King Rd, Woodhaven, MI 48183 Phone: 734-365-5112 Fax: 734-365-5115 | |
Gino D'agostino, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20059 King Rd, Woodhaven, MI 48183 Phone: 734-365-5112 Fax: 734-365-5115 | |
Derek G Hillman, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20059 King Rd, Woodhaven, MI 48183 Phone: 734-365-5112 Fax: 734-365-5115 | |
Nicholas Mychalowych, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20059 King Rd, Woodhaven, MI 48183 Phone: 734-365-5112 Fax: 734-365-5115 | |
Mr. Christopher Laura, M.PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25000 Hall Rd, Woodhaven, MI 48183 Phone: 734-493-1665 |