Individual provider Active NPI

Brittany A Marcsisin, PT, DPT

  • Physical Therapist
  • Ashburn, VA
National Provider Identifier
1710472576
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214805 Issued in VA
Practice address
43490 Yukon Dr Ste 212
Ashburn, VA 20147-7326
Phone
(703) 729-7920
Fax
(703) 729-7923
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA0176500 NJ
Physical Therapist 225100000X 2305214805 VA Primary

Addresses

Primary practice location

43490 Yukon Dr Ste 212
Ashburn, VA 20147-7326

Mailing address

PO Box 1769
Middleburg, VA 20118-1769
Phone (703) 729-7920

Other practice location 1

719 Route 206 Ste 104
Hillsborough, NJ 08844-1529
Phone (908) 262-7404

Other identifiers 1

IdentifierTypeStateIssuer
40QA01796500OtherNJSTATE LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA0176500NJMDPhysical Therapist
2305214805VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Jackson Clinics LLC Physical Therapist PastSince Aug 14, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1710472576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1769",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "201181769",
            "telephone_number": "703-729-7920",
            "fax_number": "703-729-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43490 YUKON DR STE 212",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477326",
            "telephone_number": "703-729-7920",
            "fax_number": "703-729-7923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 Route 206 Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088441529",
            "country_code": "US",
            "telephone_number": "908-262-7404",
            "fax_number": "908-262-7406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCSISIN",
        "first_name": "BRITTANY",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA0176500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "40QA01796500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.