Individual provider Active NPI

Marion Ann Lisenby, MPT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1821859794
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305004732 Issued in VA
Practice address
139 Ship Shoal Way
Virginia Beach, VA 23451-6544
Phone
(757) 404-0440
Fax
(757) 524-4004
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3150 HI
Geriatric Physical Therapist 2251G0304X 2305004732 VA
Physical Therapy Clinic/Center 261QP2000X 2305004732 VA
Physical Therapist 225100000X 2305004732 VA Primary

Addresses

Primary practice location

139 Ship Shoal Way
Virginia Beach, VA 23451-6544

Mailing address

PO Box 1615
Virginia Beach, VA 23451-9615
Phone (757) 404-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240205002700 VA Practitioner - Physical Therapist in Private Practice 3678916889 Reassigns benefits to 1 organization
I20241218003300 DC Practitioner - Physical Therapist in Private Practice 3678916889 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3150HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluesky Physical Therapy LLC Physical Therapist CurrentSince Sep 20, 2025 Accepting new patients
Marion Lisenby MSPT LLC Physical Therapist Current Accepting new patients
Inventive Solutions, LLC Current Accepting new patients

Organizations & group practices 4

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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1821859794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1615",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234519615",
            "telephone_number": "757-404-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SHIP SHOAL WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516544",
            "telephone_number": "757-404-0440",
            "fax_number": "757-524-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISENBY",
        "first_name": "MARION",
        "middle_name": "ANN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3150",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "VA",
            "license": "2305004732",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305004732",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.