Active NPI
Kimberly Marmol, PT
- Physical Therapist
- Haymarket, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305211243
- Practice address
- 6444 Trading SQ
Haymarket, VA 20169-2277 - Phone
- (571) 885-4616
- NPI assigned
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305211243 | VA | Primary |
Addresses
Primary practice location
6444 Trading SQ
Haymarket, VA 20169-2277
Mailing address
PO Box 69020
Baltimore, MD 21264-2451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43330 Junction PLZ
Suite 122
Ashburn, VA 20147-3407
Phone (703) 972-1040
6444 Trading SQ
Suite 50
Haymarket, VA 20169-2277
Phone (571) 932-3480
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.48 of 100
- Quality
- 86.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Professional Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Professional Sportscare & Rehab, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500
6444 Trading Sq
Ste 50
Haymarket, VA 20169
Phone (571) 932-3480
11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720
Organizations & group practices 5
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.
-
- Clinic/Center
- Winchester, VA
- NPI 1033142294
DC, Physical Therapist
-
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
-
- Physical Therapist
- Newport News, VA
- NPI 1669493474
-
- Physical Therapist
- Woodbridge, VA
- NPI 1548714959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500422400000",
"number": "1922408244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69020",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212642451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6444 TRADING SQ",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201692277",
"telephone_number": "571-885-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARMOL",
"first_name": "KIMBERLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2017-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haymarket, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.