Active NPI
Margaux W Craig, MSPT
- Physical Therapist
- Alexandria, VA
National Provider Identifier
1396788790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT870379
- Practice address
- 5901 Kingstowne Village Pkwy
Suite 301
Alexandria, VA 22315-5880 - Phone
- (703) 924-2650
- Fax
- (703) 924-2653
- NPI assigned
- Jun 14, 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 | PT870379 | DC | Primary |
Addresses
Primary practice location
5901 Kingstowne Village Pkwy
Suite 301
Alexandria, VA 22315-5880
Mailing address
5901 Kingstowne Village Pkwy
Suite 301
Alexandria, VA 22315-5880
Phone (703) 924-2650
Other names 1
- Margaux A Wallace
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Therapy and Rehabilitation,Inc | Physical Therapist | Past | Accepting new patients |
| Sports Therapy and Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- Washington, DC
- NPI 1942955729
-
- Physical Therapist
- Washington, DC
- NPI 1780611046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1396788790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 KINGSTOWNE VILLAGE PKWY",
"address_2": "SUITE 301",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223155880",
"telephone_number": "703-924-2650",
"fax_number": "703-924-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 KINGSTOWNE VILLAGE PKWY",
"address_2": "SUITE 301",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223155880",
"telephone_number": "703-924-2650",
"fax_number": "703-924-2653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "MARGAUX",
"middle_name": "W",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT870379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARGAUX",
"last_name": "WALLACE",
"middle_name": "A",
"credential": "MSPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.