| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARISSA J. FEVELO | 1215576293 | 2021-07-12 |
Marissa J. Fevelo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215576293. Registration indicates Marissa J. Fevelo is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Marissa J. Fevelo DPT |
| Practice Office Address | 30 BROAD ST # STREETA NEW YORK, NY US |
| Practice Office Telephone | 6467907454 |
| Practice Office Fax | 2123792076 |
| Mailing Address | 307 5TH AVE FL 6 NEW YORK, NY 100166575 US |
| Business Telephone | 2127592282 |
| Business Fax | 2123792123 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1120 N 103rd Plz Ste 300 | Omaha, NE 681141119 | 4028964562 |
| 1248 Hospital Dr | St Johnsbury, VT 058199248 | 8027488757 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 040.0134120
VT |
| 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 10470R
LA |
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 044865
NY |