Individual provider Active NPI

Marquis Luis Sanabrais, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Madison, WI
National Provider Identifier
1295334878
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
15263-24 Issued in WI
Practice address
1619 N Stoughton Rd
Madison, WI 53704-2603
Phone
(262) 442-4273
NPI assigned
Oct 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 15263-24 WI Primary

Addresses

Primary practice location

1619 N Stoughton Rd
Madison, WI 53704-2603

Mailing address

5781 Verde View Rd
Fitchburg, WI 53711-5869
Phone (847) 977-6195

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210222001796 MD Practitioner - Physical Therapist in Private Practice 2062827272 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chapmanpt, LLCGroup PAC ID 3678985488, 4 clinicians

Practice addresses (Care Compare)

3601 Clipper Mill Rd
Suite 3
Baltimore, MD 21211-1935
Phone (413) 325-5749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28294MDMDPharmacist
15263-24WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC CurrentSince Feb 25, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 7, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 7, 2023 Accepting new patients
LHMG Physical Therapy, LLC Current Accepting new patients
Ati Holdings, LLC CurrentSince Feb 2, 2021 Accepting new patients
Felice Physical Therapy CurrentSince Aug 2, 2021 Accepting new patients
LHMG Physical Therapy, LLC CurrentSince Feb 25, 2025 Accepting new patients
Ati Holdings, LLC CurrentSince Feb 2, 2021 Accepting new patients
Chapmanpt, LLC CurrentSince Aug 19, 2024 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

3601 Clipper Mill Rd
Ste 3
Baltimore, MD 21211
Phone (410) 995-8178

10 Light St
Baltimore, MD 21202
Phone (410) 202-8581

1401 Merritt Blvd
Ste D
Dundalk, MD 21222
Phone (443) 530-9750

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

11270 Pepper Rd
Hunt Valley, MD 21031
Phone (410) 708-4763

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Organizations & group practices 9

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1295334878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5781 VERDE VIEW RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115869",
            "telephone_number": "847-977-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N STOUGHTON RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537042603",
            "telephone_number": "262-442-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANABRAIS",
        "first_name": "MARQUIS",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "15263-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.