Active NPI
Kerri S Marks, PT
- Physical Therapist
- Etna, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008949
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 008949 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Licking Rehabilitation Services Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Heath, OH
- NPI 1467549857
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.