Individual provider Active NPI

Marva A Marsh, PT

  • Specialist
  • Upper Marlboro, MD
National Provider Identifier
1548235682
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16313 Issued in MD
Practice address
1100 Mercantile Lane
#160
Upper Marlboro, MD 20774-5380
Phone
(301) 583-0150
Fax
(301) 583-0348
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16313 MD Primary

Addresses

Primary practice location

1100 Mercantile Lane
#160
Upper Marlboro, MD 20774-5380

Mailing address

1100 Mercantile Lane
#160
Upper Marlboro, MD 20774-5380
Phone (301) 583-0150

Other identifiers 4

IdentifierTypeStateIssuer
147057500OtherMDDEPT PF LABOR WORKERS COM
S4740001OtherDCBLUE CROSS BLUE SHIELD
228752OtherMAMSI ALLIANCE PPO MDIPA
650011408OtherMDRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000731 DC Practitioner - Physical Therapist in Private Practice 4385667252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3303 Stanton Rd SE
Suite B
Washington, DC 20020-2252
Phone (202) 545-8444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16313MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Physical Therapy Services CurrentSince Feb 12, 2010 Accepting new patients

Locations

3303 Stanton Rd SE
Ste B
Washington, DC 20020
Phone (202) 545-8444

3200 12th St NE
Washington, DC 20017
Phone (202) 332-1707

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1548235682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MERCANTILE LANE",
            "address_2": "#160",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745380",
            "telephone_number": "301-583-0150",
            "fax_number": "301-583-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MERCANTILE LANE",
            "address_2": "#160",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745380",
            "telephone_number": "301-583-0150",
            "fax_number": "301-583-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "MARVA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "16313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT PF LABOR WORKERS COM",
            "identifier": "147057500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "S4740001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI ALLIANCE PPO MDIPA",
            "identifier": "228752",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650011408",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.