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

Marissa S. Renelle, DPT

Individual provider Physical Therapist · NPI 1598051492

Marissa S. Renelle, DPT is a Physical Therapist in Private Practice in Franklin Lakes, New Jersey. Qualified in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut, New Jersey and New York.

Years since qualifying
17
Licensed in
CT, NJ, NY
In the registry since
2011
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

516 Commerce St
Franklin Lakes, NJ 07417-1310
Phone: (917) 509-6776
Fax: (201) 644-7586
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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 40QA01668600 (NJ)
Physical Therapist Taxonomy 225100000X · Licence 031942 (NY)
Physical Therapist Taxonomy 225100000X · Licence 010655 (CT)

Record details

NPI number1598051492
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 20, 2011
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Franklin Lakes