Individual ProviderMichael MarcelloPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address550 S Winchester Blvd Ste 106, San Jose, CA 95128-2544(408) 293-7767PECOS EnrollmentBased on the most recent information from CMS, provider Michael Marcello does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1134545262Provider TypeIndividualFull NameMarcello, MichaelGenderMaleSole ProprietorNoEnumeration Date3/13/2014Last Updated3/13/2014Contact InformationPractice LocationPractice Address550 S Winchester Blvd Ste 106, San Jose, CA 95128-2544Phone(408) 293-7767FaxUnlisted FaxMailing LocationMailing Address550 S Winchester Blvd Ste 106, San Jose, CA 95128-2544Phone(408) 293-7767FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense41131California