Individual provider Active NPI

Maria Catalina Lemcke, PT, DPT

  • Physical Therapist
  • Gainesville, VA
National Provider Identifier
1053616755
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206752 Issued in VA
Practice address
14535 John Marshall Hwy
Suite 203
Gainesville, VA 20155-4023
Phone
(703) 753-0974
Fax
(703) 753-9709
NPI assigned
Jan 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206752 VA Primary

Addresses

Primary practice location

14535 John Marshall Hwy
Suite 203
Gainesville, VA 20155-4023

Mailing address

14535 John Marshall Hwy
Suite 203
Gainesville, VA 20155-4023
Phone (703) 753-0974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105001756 VA Practitioner - Physical Therapist in Private Practice 3678875861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-County Physical Therapy LLCGroup PAC ID 6709936941, 7 clinicians
Haymarket Physical Therapy LLCGroup PAC ID 4486961687, 4 clinicians

Practice addresses (Care Compare)

12581 Milstead Way
Suite 201
Woodbridge, VA 22192-5446
Phone (703) 763-3922

14535 John Marshall Hwy
Suite 203
Gainesville, VA 20155-4025
Phone (703) 753-0261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305206752VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-County Physical Therapy LLC Physical Therapist CurrentSince Apr 6, 2026 Accepting new patients
Haymarket Physical Therapy LLC Physical Therapist CurrentSince Nov 23, 2015 Accepting new patients

Locations

10342 Bristow Center Dr
Bristow, VA 20136
Phone (571) 719-3563

14535 John Marshall Hwy
Ste 203
Gainesville, VA 20155
Phone (703) 753-0261

3421 Commission Ct
Ste 101
Woodbridge, VA 22192
Phone (571) 572-3061

12581 Milstead Way
Ste 201
Woodbridge, VA 22192
Phone (703) 763-3922

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1053616755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY",
            "address_2": "SUITE 203",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554023",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY",
            "address_2": "SUITE 203",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554023",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMCKE",
        "first_name": "MARIA",
        "middle_name": "CATALINA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.