Healthcare Provider Details

I. General information

NPI: 1437340403
Provider Name (Legal Business Name): MARNI J LARKIN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 04/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 HILLSIDE AVE LOWR LEVEL
MANHASSET NY
11030-2229
US

IV. Provider business mailing address

20 BROOKSIDE DR
PLANDOME NY
11030-1405
US

V. Phone/Fax

Practice location:
  • Phone: 516-365-2800
  • Fax: 516-869-5992
Mailing address:
  • Phone: 516-365-2800
  • Fax: 516-869-5992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number014452
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number014452
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number014452
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number014452
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number014452
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number014452
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: