Physical Therapist in Mount Airy, MD


Marci Marshall is a provider established in Mount Airy, Maryland and her medical specialization is Physical Therapist with more than 39 years of experience. The NPI number of Marci Marshall is 1013075001 and was assigned on December 2006. The practitioner's primary taxonomy code is 225100000X with license number 15874 (MD). The provider is registered as an individual and her NPI record was last updated 9 years ago.

Location Address6091 TOURSOME DR MOUNT AIRY, MD 21771
Location Phone(240) 449-9870
Mailing Address6091 TOURSOME DR MOUNT AIRY, MD 21771
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1984
Is Sole Proprietor?No
Enumeration Date12-04-2006
Last Update Date01-27-2014

Marci Marshall is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.33 for a new patient copayment and $18.96 for an established patient copayment.

Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.15874
License StateMD
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

ZIP 21771
Phone: (240) 449-9870

Get Directions

Mailing Address

ZIP 21771
Phone: (240) 449-9870
Fax: (301) 829-3211

Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID2961413679
PECOS Enrollment IDI20060509000908
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 21771 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$60.77 $183.88 $93.34
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.19 $45.97 $23.33
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.98 $150.13 $75.85
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.74 $37.53 $18.96

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 176Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • 149Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • 127Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
  • 17Physical therapy evaluation (HCPCS:97001)

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 0 + 0 + 0 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1013075001 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
Physical Therapist6091 TOURSOME DR
(201) 252-5380
Physical Therapist (Electrophysiology, Clinical)6091 TOURSOME DR
(301) 252-5380

Frequently Asked Questions

What is Marci Marshall PT NPI number?

The NPI number assigned to Marci Marshall PT is 1013075001, registered as an "individual" on December 04, 2006

Where is Marci Marshall PT located?

The provider is located at 6091 Toursome Dr Mount Airy, Md 21771 and the phone number is (240) 449-9870

Which is Marci Marshall PT specialty?

The provider's speciality is Physical Therapist

How many years of experience does Marci Marshall PT have?

The provider has more than 39 years of experience.

What insurance does Marci Marshall PT accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

How much is a visit to Marci Marshall PT?

Medicare beneficiaries should expect a typical cost of $93.34 with an average copayment of $23.33 for new patient appointments. Established patients should expect a typical charge of $75.85 and an average copayment of 18.96. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Marci Marshall PT?

The most common procedures or services performed by this practitioner are: Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes, Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes and Physical therapy evaluation.

How do I update my NPI information?

The NPI record of Marci Marshall PT was last updated on December 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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