MARC ANTHONY MORTELLARO
NPI 1720577133
Specialist/Technologist - Athletic Trainer in New York, NY

Q: What is Marc Mortellaro's NPI number?

The NPI number for Marc Mortellaro is 1720577133. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Q: What is Marc Mortellaro's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Marc Mortellaro was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 02, 2018

622 W 168TH ST PH 11, NEW YORK, NY 10032(212) 305-6445(212) 305-4040 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marc Anthony Mortellaro NPPES

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

MARC ANTHONY MORTELLARO (NPI 1720577133) is an individual athletic trainer provider in New York, New York, licensed in New York (001899) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1720577133

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMARC ANTHONY MORTELLARO

Location Address622 W 168TH ST PH 11New York, NY 10032-3720

Mailing Address622 W 168th St Ph 11New York, NY 10032-3720 · (212) 305-6445 · Fax (212) 305-4040

Phone(212) 305-6445

Fax(212) 305-4040

Sole ProprietorYes

Enumeration DateMay 2, 2018

✔ NPI 1720577133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in NY · 001899

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

622 W 168TH ST PH 11, New York, NY 10032

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

JOELLE CARINA GAGE ATC

Specialist/Technologist (Athletic Trainer)