Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa J. Fevelo, DPT

Individual provider Physical Therapist · NPI 1215576293

Marissa J. Fevelo, DPT is registered under Physical Therapist in Private Practice in New York, New York. Graduated from State University of Ny Upstate Medical University in 2019, 7 years ago. Practices with Tallahassee Orthopedic Clinic III Pl, a 550-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana, New York and Vermont.

Years since qualifying
7
Trained at
State University of Ny Upstate Medical University
Licensed in
LA, NY, VT
In the registry since
2019
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

30 Broad St # Streeta
New York, NY 10004-2304
Phone: (646) 790-7454
Fax: (212) 379-2076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1120 N 103rd Plz Ste 300, Omaha, NE 68114-1119 — (402) 896-4562
  • 1248 Hospital Dr, St Johnsbury, VT 05819-9248 — (802) 748-8757

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 044865 (NY)
Physical Therapist Taxonomy 225100000X · Licence 040.0134120 (VT)
Physical Therapist Taxonomy 225100000X · Licence 10470R (LA)

Record details

NPI number1215576293
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 23, 2019
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2019 (7 years in practice)
Group practice Tallahassee Orthopedic Clinic Iii Pl — 550 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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 patients52
Services billed 2,210 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

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 Tallahassee Orthopedic Clinic III Pl

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 550 clinicians in the practice; 12 are shown here.

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