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

Marisa Hastings

Individual provider Physical Therapist · NPI 1043047749

Marisa Hastings is a Physical Therapist in Private Practice in Lehigh Acres, Florida. Qualified in 2024, 2 years ago. Practices with Performance Rehabilitation of Western New England LLC, a 201-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Massachusetts and Maryland.

Years since qualifying
2
Licensed in
FL, MA, MD
In the registry since
2024
Specialties on file
3

Practice location Address checks out

4316 Lee Blvd Unit 12B
Lehigh Acres, FL 33971-1735
Phone: (239) 368-7744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 460 Providence Hwy, Dedham, MA 02026-6815 — (781) 381-5242
  • 14190a Baltimore Ave, Laurel, MD 20707-5007 — (240) 542-5924

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT43670 (FL)
Physical Therapist Taxonomy 225100000X (MA)
Physical Therapist Taxonomy 225100000X (MD)

Record details

NPI number1043047749
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2024
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Performance Rehabilitation Of Western New England Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lehigh Acres