Active NPI
Marian Marconyak, PHD, PT
- Physical Therapist
- Norfolk, VA
National Provider Identifier
1639673353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305001851
- Practice address
- 7000 W Tanners Creek Dr
Norfolk, VA 23513-1151 - Phone
- (757) 635-5006
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 2305001851 | VA | Primary |
Addresses
Primary practice location
7000 W Tanners Creek Dr
Norfolk, VA 23513-1151
Mailing address
1001 Josephine Cres
Virginia Beach, VA 23464-3918
Phone (757) 635-5006
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305001851 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1639673353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 JOSEPHINE CRES",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234643918",
"telephone_number": "757-635-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 W TANNERS CREEK DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235131151",
"telephone_number": "757-635-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCONYAK",
"first_name": "MARIAN",
"credential": "PHD, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305001851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.