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

Marissa Credle

Individual provider Athletic Trainer · NPI 1558842419

Marissa Credle is a Physical Therapist in Private Practice in Gilbert, Arizona. Qualified in 2022, 4 years ago. Practices with Orthopedic Specialists of North America PLLC, a 309-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1675 E Melrose St Unit 101
Gilbert, AZ 85297-1001
Phone: (480) 964-2908
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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 LPT-32457 (AZ)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558842419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 28, 2018
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address1675 E Melrose St Unit 101, Gilbert, AZ 85297-1001

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Orthopedic Specialists Of North America Pllc — 309 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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