MRS. MARIETTA JOANNE PHILLIPS PT
NPI 1104960343
Physical Therapist in Rochester, NY
About Mrs. Marietta Joanne Phillips Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARIETTA JOANNE PHILLIPS PT (NPI 1104960343) is an individual physical therapist in Rochester, New York, licensed in New York (012008-1) and active in the NPI registry since February 2007. She maintains a secondary practice location in Rochester.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Marietta Joanne Phillips Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marietta Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, NY 14624
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, NY 14624
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marietta Phillips's NPI number?
The NPI number for Marietta Phillips is 1104960343. It was assigned to this individual provider in the NPPES registry on February 19, 2007.
Where is Marietta Phillips located?
Marietta Phillips practices at 2755 Buffalo Rd, Rochester, NY 14624. The listed phone number is (585) 290-1490.
What is Marietta Phillips's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Marietta Phillips enrolled in Medicare?
Yes. Marietta Phillips is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marietta Phillips's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marietta Phillips reassigns Medicare benefits to Sprout Physical Therapy PLLC (Rochester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marietta Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marietta Phillips was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.