Individual provider Active NPI

Malia Kramolisch, DPT

  • Physical Therapist
  • Stafford, VA
National Provider Identifier
1285461285
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216663 Issued in VA
Practice address
45 Walpole St Ste 101
Stafford, VA 22554-6547
Phone
(540) 628-2350
NPI assigned
Sep 16, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 2305216663 VA Primary

Addresses

Primary practice location

45 Walpole St Ste 101
Stafford, VA 22554-6547

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241023002963 VA Practitioner - Physical Therapist in Private Practice 6406389881 Reassigns benefits to 3 organizations
I20260603000131 DC Practitioner - Physical Therapist in Private Practice 6406389881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy Virginia LLCGroup PAC ID 0143553206, 19 clinicians
Back in Motion Physical Therapy LLCGroup PAC ID 3274522784, 22 clinicians

Practice addresses (Care Compare)

45 Walpole St
Suite 101
Stafford, VA 22554-6547
Phone (540) 628-2350

9447 B Lorton Market St
Suite 250
Lorton, VA 22079-1963
Phone (703) 372-5716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305216663VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

26106 Lee Hwy
Abingdon, VA 24211
Phone (276) 623-0274

313 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 434-1200

4011B Wards Rd
Lynchburg, VA 24502
Phone (434) 284-7894

4165 Quarles Ct
#1
Rockingham, VA 22801
Phone (540) 437-7585

45 Walpole St
Ste 101
Stafford, VA 22554
Phone (540) 628-2350

Organizations & group practices 8

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1285461285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WALPOLE ST STE 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546547",
            "telephone_number": "540-628-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMOLISCH",
        "first_name": "MALIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.