Individual provider Active NPI

Marilyn Lepage, MSPT, COMT, CHT

  • Physical Therapist
  • Herndon, VA
National Provider Identifier
1083708838
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305006773 Issued in VA
Practice address
13350 Franklin Farm Rd Ste 300
Herndon, VA 20171-4095
Phone
(703) 810-5205
NPI assigned
Oct 3, 2006
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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 2305006773 VA Primary

Addresses

Primary practice location

13350 Franklin Farm Rd Ste 300
Herndon, VA 20171-4095

Mailing address

11240 Waples Mill Rd
Ste 403
Fairfax, VA 22030-6078
Phone (703) 383-6454

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlepage12562@direct.orthovirginia.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170620001784 DC Practitioner - Physical Therapist in Private Practice 6901709872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

13350 Franklin Farm Rd
Suite 300
Herndon, VA 20171-4095
Phone (703) 810-5205

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305006773VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Jun 5, 2017 Accepting new patients
Orthovirginia Inc. Current Accepting new patients

Locations

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

11240 Waples Mill Rd
Ste 403
Fairfax, VA 22030
Phone (703) 246-8080

13350 Franklin Farm Rd
Ste 300
Herndon, VA 20171
Phone (703) 234-1045

8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1083708838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 WAPLES MILL RD",
            "address_2": "STE 403",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306078",
            "telephone_number": "703-383-6454",
            "fax_number": "703-810-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 FRANKLIN FARM RD STE 300",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714095",
            "telephone_number": "703-810-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPAGE",
        "first_name": "MARILYN",
        "credential": "MSPT, COMT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlepage12562@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. LePage direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "13350 Franklin Farm Rd Ste 300",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201714095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.