Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Marina Revich-Kravzov, MSOTR/L

Individual provider Occupational Therapist · NPI 1740797869

Marina Revich-Kravzov, MSOTR/L is registered under Occupational Therapist in Private Practice in Glen Rock, New Jersey. Qualified in 2017, 9 years ago. Practices with Sportsmed PT LLC, a 214-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2018

Practice location Address checks out

70 Ellsworth Terr
Glen Rock, NJ 07452-0745
Phone: (201) 389-6487
Fax: (201) 389-6487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR00808100 (NJ)

Record details

NPI number1740797869
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorYes
NPI enumeratedJanuary 10, 2018
Last updated in NPPESJune 16, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sportsmed Pt Llc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients16
Services billed 797 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Sportsmed PT LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 214 clinicians in the practice; 12 are shown here.

Other providers in Glen Rock