National Provider Identifier

Jasmine O Marcus, PT, DPT

Jasmine O Marcus, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 257-5009.

NPI 1073999546Ithaca, NYPhysical Therapist

Profile Overview

NPI
1073999546
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 06, 2015
Last Updated
August 06, 2015

Practice Location

  • 2359 N Triphammer RD
  • Ithaca, NY 14850-1059

Phone: (607) 257-5009

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1073999546
Entity Type
Individual
Last Name
Marcus
First Name
Jasmine
Middle Name
O
Credential
PT, DPT
Mailing Street Address
2359 N Triphammer RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1059
Mailing Country
US
Mailing Phone
(607) 257-5009
Mailing Fax
(607) 257-9985
Practice Street Address
2359 N Triphammer RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1059
Practice Country
US
Practice Phone
(607) 257-5009
Practice Fax
(607) 257-9985
Enumeration Date
August 06, 2015
Last Updated
August 06, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
039125 (NY, New York State License)