Provider Demographics
NPI:1720182298
Name:SPERLING, MARINA (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:
Last Name:SPERLING
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:MARINA
Other - Middle Name:
Other - Last Name:CHANIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:826 BUSTLETON PIKE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6064
Mailing Address - Country:US
Mailing Address - Phone:215-364-0100
Mailing Address - Fax:267-364-5393
Practice Address - Street 1:826 BUSTLETON PIKE
Practice Address - Street 2:SUITE 109
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6064
Practice Address - Country:US
Practice Address - Phone:215-364-0100
Practice Address - Fax:267-364-5393
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018189225100000X, 2251E1200X, 2251N0400X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA185955OtherPABS
000000254580OtherAMERICHOICE
PA1720182298OtherBRAVO
254580OtherUNISON
PA2762932000OtherIBC
PA30061120OtherKEYSTONE MERCY
PAP00692886OtherRAILROAD MEDICARE
PA102335990-0001Medicaid
PA1720182298OtherBRAVO