Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marina Revich-Kravzov, MSOTR/L

Individual provider Occupational Therapist · NPI 1740797869

Marina Revich-Kravzov, MSOTR/L is an Occupational Therapist in Private Practice in Glen Rock, New Jersey. Qualified in 2017, 9 years ago. Practices with Sportsmed PT LLC, a 214-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2018
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Practice location Address checks out

70 Ellsworth Terr
Glen Rock, NJ 07452-0745
Phone: (201) 389-6487
Fax: (201) 389-6487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR00808100 (NJ)

Record details

NPI number1740797869
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorYes
NPI enumeratedJanuary 10, 2018
Last updated in NPPESJune 16, 2018

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sportsmed Pt Llc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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