Individual provider Active NPI

Kerri S Marks, PT

  • Physical Therapist
  • Etna, OH
National Provider Identifier
1376973982
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008949 Issued in OH
Practice address
8200 Hazelton Etna Rd SW
Ste 300
Etna, OH 43062-9630
Phone
(740) 892-3675
Fax
(740) 892-9582
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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 008949 OH Primary

Addresses

Primary practice location

8200 Hazelton Etna Rd SW
Ste 300
Etna, OH 43062-9630

Mailing address

PO Box 50
Pataskala, OH 43062-0050
Phone (740) 892-3675

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140211000904 OH Practitioner - Physical Therapist in Private Practice 3678702875 Reassigns benefits to 1 organization

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
Group practices
Licking Rehabilitation Services IncGroup PAC ID 9638073406, 10 clinicians

Practice addresses (Care Compare)

105 W Dave Longaberger Ave
Dresden, OH 43821-9687
Phone (740) 345-2837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008949OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Rehabilitation Services Inc Physical Therapist CurrentSince Jul 27, 2021 Accepting new patients

Locations

777 W State St
Ste 302
Columbus, OH 43222
Phone (614) 221-2299

105 W Dave Longaberger Ave
Dresden, OH 43821

1220 Hebron Rd
Heath, OH 43056
Phone (740) 763-0408

11171 Lambs Ln
Newark, OH 43055

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": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1376973982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430620050",
            "telephone_number": "740-892-3675",
            "fax_number": "740-892-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 HAZELTON ETNA RD SW",
            "address_2": "STE 300",
            "city": "ETNA",
            "state": "OH",
            "postal_code": "430629630",
            "telephone_number": "740-892-3675",
            "fax_number": "740-892-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "KERRI",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "008949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Etna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.