Individual provider Active NPI

Marius R Hernandez, DPT

  • Physical Therapist
  • Lorton, VA
National Provider Identifier
1346320611
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207829 Issued in VA
Practice address
10716 Richmond Hwy Ste 103
Lorton, VA 22079-2645
Phone
(703) 892-6500
Fax
(703) 521-3415
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017710 PA
Physical Therapist 225100000X 40QA01197300 NJ
Physical Therapist 225100000X 2305207829 VA Primary

Addresses

Primary practice location

10716 Richmond Hwy Ste 103
Lorton, VA 22079-2645

Mailing address

10716 Richmond Hwy Ste 103
Lorton, VA 22079-2645
Phone (703) 892-6500

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130702000824 VA Practitioner - Physical Therapist in Private Practice 5193872935 Reassigns benefits to 1 organization
I20140208000393 DC Practitioner - Physical Therapist in Private Practice 5193872935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians

Practice addresses (Care Compare)

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 892-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017710PAMDPhysical Therapist
2305207829VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics LLC Current Accepting new patients
Anderson Clinic LLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Anderson Clinic LLC CurrentSince Jul 1, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Nov 1, 2013 Accepting new patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 13, 2022 Accepting new patients

Locations

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2445 Army Navy Dr
Arlington, VA 22206

8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159

10716 Richmond Hwy
Ste 103
Lorton, VA 22079
Phone (703) 690-2309

14605 Potomac Branch Dr
#30
Woodbridge, VA 22191
Phone (703) 490-1112

14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112

Organizations & group practices 5

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1346320611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10716 RICHMOND HWY STE 103",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792645",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10716 RICHMOND HWY STE 103",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792645",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIUS",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017710",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01197300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.