DR. MARIELLE BLACKBURN PT
NPI 1659919397
Physical Therapist in White Plains, NY
About Dr. Marielle Blackburn Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARIELLE BLACKBURN PT (NPI 1659919397) is an individual physical therapist in White Plains, New York, licensed in New York (030619) and active in the NPI registry since December 2019. She is a graduate of Other (2008).
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Marielle Blackburn Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Marielle Blackburn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Outreach Physical And Occupational Therapy & Speech Rehabilitation, Pl
- 161 clinicians in this Medicare group
New York, NY 10128
- Reassigned Medicare billing, New York enrollment
- 51 clinicians in this Medicare group
New York, NY 10017
- Reassigned Medicare billing, New York enrollment
- 52 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITE PLAINS, NY 10605
WHITE PLAINS, NY 10605
WHITE PLAINS, NY 10605
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 Marielle Blackburn's NPI number?
The NPI number for Marielle Blackburn is 1659919397. It was assigned to this individual provider in the NPPES registry on December 12, 2019.
Where is Marielle Blackburn located?
Marielle Blackburn practices at 785 Mamaroneck Ave, White Plains, NY 10605. The listed phone number is (914) 597-2882.
What is Marielle Blackburn's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Marielle Blackburn enrolled in Medicare?
Yes. Marielle Blackburn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Marielle Blackburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marielle Blackburn reassigns Medicare benefits to 3 organizations: Outreach Physical And Occupational Therapy & Speech Rehabilitation, PLLC (Great Neck, NY), H & d Dynamic Physical & Occupational Therapy, PLLC (New York, NY) and H & d Physical Therapy & Occupational Therapy PLLC (New York, NY). 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 Marielle Blackburn'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 Marielle Blackburn was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.