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

Marissa Fragapane

Individual provider Physical Therapist · NPI 1629731112

Marissa Fragapane is a Physical Therapist in Private Practice in Lyndhurst, New Jersey. Qualified in 2021, 5 years ago. Practices with Liv Physical Therapy of Clifton LLC, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2021
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Practice location Address checks out

623 Ridge Rd
Lyndhurst, NJ 07071-3205
Phone: (201) 340-4656
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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 40QA02049700 (NJ)

Record details

NPI number1629731112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2021
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing address28 Van Vliet Ct, Clifton, NJ 07013-2701

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Liv Physical Therapy Of Clifton Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lyndhurst