Marylouise Calabrese Ganssle, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305001734 Issued in VA

Practice address

9901 Shady Cove Dr
Fairfax Station, VA 22039-2962

Phone

(703) 764-9545

Fax

(703) 764-3806

NPI assigned

Jun 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629274907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 SHADY COVE DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392962",
            "telephone_number": "703-764-9545",
            "fax_number": "703-764-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 SHADY COVE DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392962",
            "telephone_number": "703-764-9545",
            "fax_number": "703-764-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSSLE",
        "first_name": "MARYLOUISE",
        "middle_name": "CALABRESE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305001734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfax Station Pharmacy
• Janice Irene Falk, LCSW
• Forbes Wellness LLC
• Jill Forbes, C.N.P.
• Valthea Courtney Fry, FNP-C
• Arianne Go, RPH
• Andrew Anthony Guccione, D.P.T, PH.D.
• Phebe Reynoso Guerrero, CERT NURSING ASST
• Nora Habib, NP
• Soha M Hammad, RPH

• Physical Therapist in Fairfax Station, VA
• Providers in Fairfax Station, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.