Healthcare Provider Details

I. General information

NPI: 1265365035
Provider Name (Legal Business Name): MARISSA CHERRONE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13550 S JOG RD STE 204
DELRAY BEACH FL
33446-3809
US

IV. Provider business mailing address

1001 S BROUGHTON SQ
BOYNTON BEACH FL
33436-2549
US

V. Phone/Fax

Practice location:
  • Phone: 561-637-4200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number44481
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: