Active NPI
Marci Lynn Walicki
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1477035145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11648
- Practice address
- 585 Neeb Rd
Cincinnati, OH 45233-4610 - Phone
- (513) 922-1485
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 11648 | OH | Primary |
Addresses
Primary practice location
585 Neeb Rd
Cincinnati, OH 45233-4610
Mailing address
6325 Rapid Run Rd
Cincinnati, OH 45233-4555
Phone (513) 574-3200
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 |
|---|---|---|---|
| 11648 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1477035145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 RAPID RUN RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452334555",
"telephone_number": "513-574-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 NEEB RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452334610",
"telephone_number": "513-922-1485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALICKI",
"first_name": "MARCI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OH",
"license": "11648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.