Active NPI
Katherine Marinos, PT
- Physical Therapist
- Kensington, MD
National Provider Identifier
1316909856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19756
- Practice address
- 10400 Connecticut Ave
Concourse Level
Kensington, MD 20895-3910 - Phone
- (301) 949-8100
- Fax
- (301) 962-7450
- NPI assigned
- Apr 3, 2006
- 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 | 19756 | MD | Primary |
Addresses
Primary practice location
10400 Connecticut Ave
Concourse Level
Kensington, MD 20895-3910
Mailing address
10400 Connecticut Ave
Concourse Level
Kensington, MD 20895-3910
Phone (301) 949-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5 Brighton Ter
Gaithersburg, MD 20877-1814
Phone (301) 770-1613
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19756 | MD | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manual & Sports Physical Therapy LLC | Current | Accepting new patients |
Locations
121 Congressional Ln
Ste 602
Rockville, MD 20852
Phone (301) 330-4693
Organizations & group practices 1
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": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1316909856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 CONNECTICUT AVE",
"address_2": "CONCOURSE LEVEL",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208953910",
"telephone_number": "301-949-8100",
"fax_number": "301-962-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 CONNECTICUT AVE",
"address_2": "CONCOURSE LEVEL",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208953910",
"telephone_number": "301-949-8100",
"fax_number": "301-962-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINOS",
"first_name": "KATHERINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.