TARISSA MARVETTE WILLIAMS (PT) – Physical Therapist, NPI 1336485564

TARISSA MARVETTE WILLIAMS (PT) is a healthcare provider. based in Riverview, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT21423 (FL). The NPI Number for TARISSA MARVETTE WILLIAMS (PT) is 1336485564

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
TARISSA MARVETTE WILLIAMS (PT)
NPI
1336485564
Phone
(813) 541-6880
Address
10506 MARSANNE PL
Enumeration Date
16 December 2012
Last Update Date
16 December 2012

Doctor Profile

Medical School Name
CALIFORNIA ECLECTIC MEDICAL COLLEGE
Secondary Phone
9417765855
Graduation Year
2003 (23 years ago)
PAC ID
3779917299
Group Practice PAC ID
8325364300
Professional Enrollment ID
I20191216002499
Address ID
FL342198678PA12159NXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for TARISSA MARVETTE WILLIAMS (PT)

  • 10506 MARSANNE PL

    RIVERVIEW, FL 335784319

    Phone: (813) 541-6880

    Mailing address matches the actual address.

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: 2019-12-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191216002499IPhysical Therapist In Private PracticeFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes7,108176$0
97530Therapy procedure using functional activities6,876169$0
97124Therapy procedure using massage, each 15 minutes2,730143$0
97032Application of electrical stimulation with therapist present, each 15 minutes2,574139$0
97035Application of ultrasound, each 15 minutes2,555135$0
View full utilization report →

Insurance plans in this area (ZIP 33578)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325364300View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I cross-check TARISSA MARVETTE WILLIAMS (PT) using NPI 1336485564?
NPI 1336485564 belongs to TARISSA MARVETTE WILLIAMS (PT); compare other details if you need extra assurance.
Is TARISSA MARVETTE WILLIAMS (PT) still an active registrant?
TARISSA MARVETTE WILLIAMS (PT) carries an active NPI according to the public dataset.
What expertise is attributed to TARISSA MARVETTE WILLIAMS (PT)?
TARISSA MARVETTE WILLIAMS (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Florida is TARISSA MARVETTE WILLIAMS (PT) registered?
Use Riverview, Florida as the headline location for TARISSA MARVETTE WILLIAMS (PT) here.
When was this NPI issued?
Enumeration for TARISSA MARVETTE WILLIAMS (PT) is noted as December 16, 2012 where the registry provides it.

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