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

Marissa Marie Cotroneo

Individual provider Physical Therapist · NPI 1184348211

Marissa Marie Cotroneo is a Physical Therapist in Private Practice in Morro Bay, California. Qualified in 2022, 4 years ago. Practices with Kellen Ryan Scantlebury Physical Therapy PLLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
4
Licensed in
CA, NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

890 Shasta Ave
Morro Bay, CA 93442-1933
Phone: (805) 772-4325
Fax: (805) 772-2886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 Northern Blvd Ste 11, Great Neck, NY 11021-4802 — (516) 829-0030

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT305757 (CA)
Physical Therapist Taxonomy 225100000X · Licence 049317 (NY)

Record details

NPI number1184348211
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESDecember 27, 2025
Certification dateDecember 27, 2025
Mailing address408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135

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 Kellen Ryan Scantlebury Physical Therapy Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Morro Bay