Active NPI
Marisa Hausrath, PT
- Physical Therapist
- Shelbyville, TN
National Provider Identifier
1366741506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032560-1
- Practice address
- 835 Union St
Shelbyville, TN 37160-2607 - Phone
- (931) 680-2300
- NPI assigned
- Mar 25, 2011
- 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 | 032560-1 | NY | Primary |
Addresses
Primary practice location
835 Union St
Shelbyville, TN 37160-2607
Mailing address
1121 Bugscuffle Rd
Wartrace, TN 37183-3461
Phone (615) 617-7960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032560-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childpro of Western New York | Past | Accepting new patients |
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.
-
- Specialist
- Lackawanna, NY
- NPI 1598974594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1366741506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 BUGSCUFFLE RD",
"city": "WARTRACE",
"state": "TN",
"postal_code": "371833461",
"telephone_number": "615-617-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 UNION ST",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371602607",
"telephone_number": "931-680-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSRATH",
"first_name": "MARISA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-25",
"last_updated": "2025-09-11",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032560-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.