MR. MARC DALE MUZZARELLI (NPI# 1629215405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629215405 |
| Entity Type | Individual |
| Full Name | MR. MARC DALE MUZZARELLI |
| Credential | PT |
| Practice Address |
940 River Centre Dr Port Huron MI 48060-4463 |
| Practice Telephone | 8109857412 |
| Mailing Telephone | 8109857412 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2010-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5501003783 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
940 RIVER CENTRE DR |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-4463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376544593 | Steven J Heithoff | Orthopaedic Surgery | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2005-08-10 |
| 1285116202 | Kelsay Kristine Payton | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060 | 2018-09-06 |
| 1275079758 | Ashley Stevenson | Physical Therapist | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2017-01-09 |
| 1093265225 | Ashley Lauren Turner | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2016-10-12 |
| 1346612447 | Amanda Whymer | Nurse Practitioner | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2015-10-28 |
| 1528440203 | Shelby Conard | Specialist/Technologist | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2015-06-18 |
| 1144628009 | Orthopedic Associates of Port Huron, PC | Radiology | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2014-12-09 |
| 1023433158 | Joshua Bosley Kiba | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2014-02-26 |
| 1104103928 | Laura Ann Kinsley | Physical Therapist | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2011-11-08 |
| 1992008759 | Kathryn Cpak | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2010-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851514 | Rebecca Marie Beery | Physical Therapist | 9551 Saline Waterworks Rd, Manchester, MI 48158-9728 | 2020-11-05 |
| 1861037921 | Jackson Hanks II | Physical Therapist | 2901 Commerce Xing, Commerce Township, MI 48390-3084 | 2019-11-13 |
| 1366084030 | Shelby Gusfa | Physical Therapist | 36622 Five Mile Rd Ste 102, Livonia, MI 48154-1900 | 2019-10-14 |
| 1881168078 | Jessie Lynn Lewis | Physical Therapist | 3315 E Michigan Ave Ste 4, Lansing, MI 48912-4649 | 2019-01-22 |
| 1063980373 | Fuel Physical Therapy & Sports Performance, LLC | Physical Therapist | 1139 Houseman Ave Ne, Grand Rapids, MI 49503-1229 | 2018-11-05 |
| 1386111243 | Your Alternative Pt, LLC | Physical Therapist | 640 Romence Rd Ste 111, Portage, MI 49024-3400 | 2018-10-30 |
| 1811472319 | Rachel E Michalski | Physical Therapist | 12150 30 Mile Rd Ste 102, Washington Township, MI 48095-2035 | 2018-10-01 |
| 1265916852 | Kelly Gotberg | Physical Therapist | 854 Washington Ave Ste 200, Holland, MI 49423-7143 | 2018-09-19 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1790272078 | Susan G Gall | Physical Therapist | 67267 S Main St, Richmond, MI 48062-1919 | 2018-04-22 |
| Find all providers with the same taxonomy | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on MR. MARC DALE MUZZARELLI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.