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

Marvin Fuentes

Individual provider Physical Therapist · NPI 1306727482

Marvin Fuentes is a Physical Therapist in Private Practice in East Setauket, New York. Qualified in 2025, 1 year ago. Practices with Metro Physical Occupational Speech Massage Therapy and Acupuncture Pll, a 448-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

128 Old Town Rd
East Setauket, NY 11733-2064
Phone: (631) 246-6072
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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 number1306727482
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Metro Physical Occupational Speech Massage Therapy And Acupuncture Pll — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in East Setauket