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

Marissa Medina, PT, DPT

Individual provider Physical Therapist · NPI 1134723356

Marissa Medina, PT, DPT is a Physical Therapist in Private Practice in Shelby, North Carolina. Qualified in 2020, 6 years ago. Practices with Custom Physical Therapy and Fitness, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1129 E Marion St
Shelby, NC 28150-4843
Phone: (704) 471-0001
Fax: (704) 471-0004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1134723356
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedNovember 29, 2020
Last updated in NPPESNovember 29, 2020
Certification dateNovember 29, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Custom Physical Therapy And Fitness — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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