Active NPI
Diane C Marnien
- Physical Therapist
- Fredericksburg, VA
National Provider Identifier
1194230516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305004735
- Practice address
- 8020 River Stone Dr
Fredericksburg, VA 22407-8761 - Phone
- (804) 436-7501
- NPI assigned
- Dec 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305004735 | VA | Primary |
Addresses
Primary practice location
8020 River Stone Dr
Fredericksburg, VA 22407-8761
Mailing address
8020 River Stone Dr
Fredericksburg, VA 22407-8761
Phone (804) 436-7501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305004735 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1194230516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8020 RIVER STONE DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224078761",
"telephone_number": "804-436-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8020 RIVER STONE DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224078761",
"telephone_number": "804-436-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARNIEN",
"first_name": "DIANE",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-07",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305004735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.