Marilee Sellers Pazicky, P.T., M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18630 Issued in MD

Practice address

16505 Grande Vista Dr
Derwood, MD 20855-1917

Phone

(240) 686-5840

NPI assigned

Jun 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1275971871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16505 GRANDE VISTA DR",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16505 GRANDE VISTA DR",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551917",
            "telephone_number": "240-686-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZICKY",
        "first_name": "MARILEE",
        "middle_name": "SELLERS",
        "credential": "P.T., M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT014031L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Palumbo
• Suk Hoon Park
• Dionne Parker
• Mary Patton
• Ariana Paz Rugel
• Tayona Pearson
• Monica Ivette Pena I
• Danielle Perdue
• Brittany Pereira
• Adriana Perez

• Physical Therapist in Derwood, MD
• Providers in Derwood, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.