Individual provider Active NPI

Kristen Maraney

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1750801155
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
230521124 Issued in VA
Practice address
502 W Broad St Ste 2
Falls Church, VA 22046-3206
Phone
(703) 992-7522
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 230521124 VA Primary

Addresses

Primary practice location

502 W Broad St Ste 2
Falls Church, VA 22046-3206

Mailing address

502 W Broad St Ste 2
Falls Church, VA 22046-3206
Phone (703) 992-7522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170831002039 VA Practitioner - Physical Therapist in Private Practice 9537432265 Reassigns benefits to 1 organization
I20190613000263 WV Practitioner - Physical Therapist in Private Practice 9537432265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
West Virginia University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Move Right Physical Therapy LLCGroup PAC ID 4789098757, 5 clinicians

Practice addresses (Care Compare)

101 Fieldview Ave
Morgantown, WV 26501-1114
Phone (304) 554-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
230521124VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Right Physical Therapy LLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

101 Fieldview Ave
Morgantown, WV 26501
Phone (304) 554-2220

Organizations & group practices 3

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750801155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W BROAD ST STE 2",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463206",
            "telephone_number": "703-992-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W BROAD ST STE 2",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463206",
            "telephone_number": "703-992-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANEY",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "230521124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.