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General NPI Number Information
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NPI Number | 1912565235
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Entity Type | Organization
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Legal Business Name | MARINO PHYSIOTHERAPY, LLC
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Dates
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Enumeration Date | 06/01/2019
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 9000 EXECUTIVE PARK DR STE C150
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City | KNOXVILLE
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State | TN
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Zip | 37923-4686
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Country | US
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Telephone | 865-236-0340
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Fax | 865-236-0348
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Provider Business Mailing Address
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Address Line | 9000 EXECUTIVE PARK DR STE C150
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City | KNOXVILLE
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State | TN
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Zip | 37923-4686
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Country | US
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Telephone | 865-236-0340
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Fax | 865-236-0348
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPY LEAD
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Name | ALAINA RAE MARINO
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Credential | MSPT
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Telephone | 865-236-0340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1200X
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Taxonomy Name | Ergonomics Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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