DR. LISA ANN MARINO (PT, DPT) – Physical Therapist, NPI 1558879353

DR. LISA ANN MARINO (PT, DPT) is a healthcare provider. based in Anna, Ohio. specializing in Physical Therapist. They hold the professional credentials PT, DPT. They hold a License No. 016340 (OH). The NPI Number for DR. LISA ANN MARINO (PT, DPT) is 1558879353

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA ANN MARINO (PT, DPT)
NPI
1558879353
Phone
(937) 232-5237
Address
12855 SIDNEY FREYBURG RD
Enumeration Date
15 January 2018
Last Update Date
25 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9378694139
Graduation Year
2016 (10 years ago)
PAC ID
5698106755
Group Practice PAC ID
4789015843
Professional Enrollment ID
I20200506000811
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for DR. LISA ANN MARINO (PT, DPT)

  • 12855 SIDNEY FREYBURG RD

    ANNA, OH 453028716

    Phone: (937) 232-5237

    Type: Mailing

  • 804 W RUSSELL RD

    SIDNEY, OH 453659063

    Phone: (937) 232-5237

    Type: Location

  • 307, East Main Street, Anna, Shelby County, Ohio, 45302, United States

    ANNA, OH 453029481

    Phone: (937) 232-5237

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45302)

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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: 4789015843View full group profile
NameSpecialtyState
-OH

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Frequently asked questions

Is DR. LISA ANN MARINO (PT, DPT) listed with a National Provider Identifier?
Yes — DR. LISA ANN MARINO (PT, DPT) has NPI 1558879353 on file in the registry.
Would DR. LISA ANN MARINO (PT, DPT) appear as active to a payer?
You can treat DR. LISA ANN MARINO (PT, DPT) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. LISA ANN MARINO (PT, DPT)?
DR. LISA ANN MARINO (PT, DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. LISA ANN MARINO (PT, DPT) associated with Anna?
Public fields place DR. LISA ANN MARINO (PT, DPT) around Anna, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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