Active NPI
Marcia Beth Graddon, ATC
- Athletic Trainer
- Arlington, VA
National Provider Identifier
1578890612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126000739
- Practice address
- 2445 Army Navy Dr Ste 300
Arlington, VA 22206-2905 - Phone
- (703) 769-8420
- Fax
- (703) 553-8647
- NPI assigned
- Nov 11, 2009
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126000739 | VA | Primary |
Addresses
Primary practice location
2445 Army Navy Dr Ste 300
Arlington, VA 22206-2905
Mailing address
2445 Army Navy Dr Ste 300
Arlington, VA 22206-2905
Phone (703) 769-8420
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 |
|---|---|---|---|
| 0126000739 | VA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Foot & Ankle Center of Washington, PC | Past | Accepting new patients |
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.
-
- Specialist
- Falls Church, VA
- NPI 1427179399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1578890612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2445 ARMY NAVY DR STE 300",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222062905",
"telephone_number": "703-769-8420",
"fax_number": "703-553-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 ARMY NAVY DR STE 300",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222062905",
"telephone_number": "703-769-8420",
"fax_number": "703-553-8647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADDON",
"first_name": "MARCIA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-11",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126000739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.