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MARISSA L BUSH D.P.T.
NPI 1558675397
Physical Therapist - Pediatrics in Wayne, NJ

Active since August 04, 2010
309 BLACK OAK RIDGE RD, WAYNE, NJ 07470(973) 956-2900(973) 956-7900 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marissa L Bush D.p.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA L BUSH D.P.T. (NPI 1558675397) is an individual pediatrics provider in Wayne, New Jersey, licensed in New Jersey (40QA01360300) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1558675397
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMARISSA L BUSHCredential: D.P.T.
Location Address309 BLACK OAK RIDGE RDWayne, NJ 07470-6504
Mailing Address1 W Ridgewood Ave, Suite 104Paramus, NJ 07652-2359 · (201) 652-1415 · Fax (201) 652-0391
Phone(973) 956-2900
Fax(973) 956-7900
Sole ProprietorNo
Enumeration DateAugust 4, 2010
Last NPPES UpdateJanuary 29, 2014
✔ NPI 1558675397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NJ · 40QA01360300
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
309 BLACK OAK RIDGE RD, Wayne, NJ 07470
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa L Bush D.p.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Marissa Bush reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractic Works, LLC
5.2 mi
Chiropractor
340 RAMAPO VALLEY RD
Oakland, NJ 07436
  • Reassigned Medicare billing, New Jersey enrollment
  • 55 clinicians in this Medicare group
NPI 1043468895 (201) 651-9100
Sportscare Of America, PC
9.0 mi
Physical Therapist
11 EAGLE ROCK AVE, SUITE 103
East Hanover, NJ 07936
  • Reassigned Medicare billing, New Jersey enrollment
  • 232 clinicians in this Medicare group
NPI 1851484380 (973) 887-0115
United Sports Care & Physical Therapy
14 mi
Occupational Therapist
218 RIDGEDALE AVE, SUITE 103
Cedar Knolls, NJ 07927
  • Reassigned Medicare billing, New Jersey enrollment
  • 220 clinicians in this Medicare group
NPI 1972881233 (973) 887-9000

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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA CARR
Occupational Therapist
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 628-1300
MRS. FAITH ELISE BELL MS, CCC-SLP
Speech-Language Pathologist
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9072
MR. MARISSA M MUCCIO PT
Specialist
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9072
PEDIATRIC REHABILITATION OF NORTH JERSEY PC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 628-1300
MS. ALYSON LIO
Speech-Language Pathologist
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 628-1300
REBECCA PACAILLER PT, DPT
Health Educator
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 628-1300
MRS. PAULA DIANNE EMMA OT
Occupational Therapist
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 956-2900
MARTHA BONILLA P.T., D.P.T.
Physical Therapist
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9072

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 Marissa Bush's NPI number?

The NPI number for Marissa Bush is 1558675397. It was assigned to this individual provider in the NPPES registry on August 4, 2010.

Where is Marissa Bush located?

Marissa Bush practices at 309 Black Oak Ridge Rd, Wayne, NJ 07470. The listed phone number is (973) 956-2900.

What is Marissa Bush's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Marissa Bush enrolled in Medicare?

Yes. Marissa Bush is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marissa Bush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Bush reassigns Medicare benefits to 3 organizations: Chiropractic Works, LLC (Oakland, NJ), Sportscare Of America, PC (East Hanover, NJ) and United Sports Care & Physical Therapy (Cedar Knolls, NJ). Each 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 Marissa Bush'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 Marissa Bush was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.