KELLY E MARMOLL
NPI 1124772033
Physical Therapist - Orthopedic in Huntersville, NC

Active since February 09, 2022Accepts Medicare Assignment
16455 STATESVILLE RD, HUNTERSVILLE, NC 28078(704) 801-3719 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2024, Feb 9, 2022 (2 updates tracked since 2022).

About Kelly E Marmoll NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY E MARMOLL (NPI 1124772033) is an individual orthopedic provider in Huntersville, North Carolina and active in the NPI registry since February 2022. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1124772033
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameKELLY E MARMOLL
Location Address16455 STATESVILLE RDHuntersville, NC 28078-7135
Mailing Address141 Remount Rd Apt 10423Charlotte, NC 28203-6498 · (440) 539-6020
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 9, 2022
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1124772033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
16455 STATESVILLE RD, Huntersville, NC 28078

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly E Marmoll is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456709674
PECOS Enrollment IDI20231129001577

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Marmoll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sports Medicine
9726 SAM FURR RD
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
Dermatology
10650 PARK RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 300 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
16455 STATESVILLE RD
HUNTERSVILLE, NC 28078
Nurse Practitioner
16455 STATESVILLE RD, STE 360
HUNTERSVILLE, NC 28078
Obstetrics & Gynecology
16455 STATESVILLE RD, STE 400
HUNTERSVILLE, NC 28078
Speech-Language Pathologist
16455 STATESVILLE RD
HUNTERSVILLE, NC 28078
Dermatology
16455 STATESVILLE RD, STE 200
HUNTERSVILLE, NC 28078
Physical Therapist
16455 STATESVILLE RD
HUNTERSVILLE, NC 28078
Nurse Practitioner
16455 STATESVILLE RD, STE 360
HUNTERSVILLE, NC 28078
Obstetrics & Gynecology
16455 STATESVILLE RD, SUITE 400
HUNTERSVILLE, NC 28078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Marmoll's NPI number?

The NPI number for Kelly Marmoll is 1124772033. It was assigned to this individual provider in the NPPES registry on February 9, 2022.

Where is Kelly Marmoll located?

Kelly Marmoll practices at 16455 Statesville Rd, Huntersville, NC 28078. The listed phone number is (704) 801-3719.

What is Kelly Marmoll's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Kelly Marmoll enrolled in Medicare?

Yes. Kelly Marmoll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelly Marmoll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Marmoll reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Huntersville, NC) and Atrium Health Specialty Network Inc (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Marmoll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Marmoll accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Kelly Marmoll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Marmoll was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.