Marissa Danielle Hermsen, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2454 Issued in AL

Practice address

1506 N McKenzie St Ste 109
Foley, AL 36535-2264

Phone

(251) 923-5590

Fax

(251) 923-5592

NPI assigned

Mar 29, 2021

Last updated

Mar 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benchmark Physical Therapy of Alabama, LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1659642916
  NPD
• Benchmark Physical Therapy of Alabama, LLC

  • Physical Therapist
  • Foley, AL
  • NPI 1144880394
  NPD (past)

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1689251191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 N MCKENZIE ST STE 109",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352264",
            "telephone_number": "251-923-5590",
            "fax_number": "251-923-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMSEN",
        "first_name": "MARISSA",
        "middle_name": "DANIELLE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "2454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrell Eye Care, Inc.
• Shanna Nicole Harville, CRNP
• Havron Endodontics, PC
• Jess Fowler Havron, D.M.D., M.S.
• Health Focus P.C.
• Mary Higginbotham, LPC
• Hightower Family Chiropractic, LLC
• Richard K. Hightower, D.C.
• Mindy Higley
• Bradley Joshua Hillman, DDS

• Athletic Trainer in Foley, AL
• Providers in Foley, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.