MR. MICAH OWEN MARAZON (D.P.T.) – Physical Therapist, NPI 1124300546
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL
Provider Addresses for MR. MICAH OWEN MARAZON (D.P.T.)
18900 N Tamiami Trl Ste A5
North Fort Myers, FL 339037312
Phone: (239) 451-4922
Fax: (239) 451-4921
Type: Location
11930 Fairway Lakes Dr Ste 103-104
Fort Myers, FL 339138388
Phone: (239) 687-3224
Fax: (239) 687-3275
Type: Location
280 PARK AVE
BOCA GRANDE, FL 339211000
Phone: (941) 964-2300
Fax: (941) 964-2320
Type: Mailing
1715 CAPE CORAL PKWY W
STE 13
CAPE CORAL, FL 339146914
Phone: (239) 542-0900
Fax: (239) 542-1802
Type: Location
2675 WINKLER AVE FL 2
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Fax: (239) 599-2612
Type: Mailing
4130 TAMIAMI TRL STE 2
PORT CHARLOTTE, FL 339529207
Phone: (877) 856-3774
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-11-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111128000184 | I | Physical Therapist In Private Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,692 | 106 | $0 |
| 97530 | Therapy procedure using functional activities | 1,654 | 102 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 1,037 | 85 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 727 | 64 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 80 | 74 | $0 |
Insurance plans in this area (ZIP 33903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL |
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