Individual provider Active NPI

Marietta Briones, PT

  • Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1790929628
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205425 Issued in VA
Practice address
6106 Health Center LN
Fredericksburg, VA 22407-6687
Phone
(540) 785-1149
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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 2305205425 VA Primary

Addresses

Primary practice location

6106 Health Center LN
Fredericksburg, VA 22407-6687

Mailing address

10501 Rising Ridge Rd Apt 202
Fredericksburg, VA 22407-8200
Phone (540) 785-1149

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

State licenses

LicenseStateTypeSpecialty
2305205425VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1790929628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 RISING RIDGE RD APT 202",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078200",
            "telephone_number": "540-785-1149",
            "fax_number": "540-785-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 HEALTH CENTER LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076687",
            "telephone_number": "540-785-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIONES",
        "first_name": "MARIETTA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.