Individual provider Active NPI

Marcos Coelho Pfitzer, DPT

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1457033565
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29590 Issued in MD
Practice address
11301 Amherst Ave Ste 102
Silver Spring, MD 20902-4665
Phone
(301) 933-7827
NPI assigned
Aug 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 29590 MD Primary

Addresses

Primary practice location

11301 Amherst Ave Ste 102
Silver Spring, MD 20902-4665

Mailing address

11301 Amherst Ave Ste 102
Silver Spring, MD 20902-4665
Phone (301) 933-7827

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227000255 AR Practitioner - Physical Therapist in Private Practice 7214391473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehabilitation, Inc Physical Therapist CurrentSince Jan 22, 2024 Accepting new patients
Total Rehabilitation, Inc Past Accepting new patients

Locations

5905 Remington Cir
Fort Smith, AR 72903
Phone (479) 452-7773

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1457033565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 AMHERST AVE STE 102",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024665",
            "telephone_number": "301-933-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 AMHERST AVE STE 102",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024665",
            "telephone_number": "301-933-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELHO PFITZER",
        "first_name": "MARCOS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.