Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marielle Tabontabon Galicia

Individual provider Physical Therapist · NPI 1205518008

Marielle Tabontabon Galicia is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2016, 10 years ago. Practices with Affinity Rehabilitation LLP, a 114-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1345 Avenue Of The Americas Fl 15
New York, NY 10105-0021
Phone: (212) 981-1977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 045556 (NY)
Physical Therapy Assistant Taxonomy 225200000X (NY)

Record details

NPI number1205518008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 2, 2023
Certification dateJuly 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Affinity Rehabilitation Llp — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Affinity Rehabilitation LLP

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 114 clinicians in the practice; 12 are shown here.

Other providers in New York