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

Mr. Micah Owen Marazon, DPT

Individual provider Physical Therapist · NPI 1124300546

Mr. Micah Owen Marazon, DPT is a Physical Therapist in Private Practice in Port Charlotte, Florida. Qualified in 2010, 16 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2011
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

4130 Tamiami Trl Ste 2
Port Charlotte, FL 33952-9207
Phone: (877) 856-3774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11930 Fairway Lakes Dr Ste 103-104, Fort Myers, FL 33913-8388 — (239) 687-3224
  • 18900 N Tamiami Trl Ste A5, North Fort Myers, FL 33903-7312 — (239) 451-4922

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT25697 (FL)

Record details

NPI number1124300546
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 12, 2011
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Charlotte