MARISSA VARDAVAS PT
NPI 1144048604
Physical Therapist in Boardman, OH
About Marissa Vardavas Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA VARDAVAS PT (NPI 1144048604) is an individual physical therapist in Boardman, Ohio and active in the NPI registry since October 2024.
NPPES Registry Identity
Specialties & Licenses
- 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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marissa Vardavas Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marissa Vardavas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boardman, OH 44512
- Reassigned Medicare billing, Ohio enrollment
- 11 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Marissa Vardavas's NPI number?
The NPI number for Marissa Vardavas is 1144048604. It was assigned to this individual provider in the NPPES registry on October 2, 2024.
Where is Marissa Vardavas located?
Marissa Vardavas practices at 8561 Market St, Boardman, OH 44512. The listed phone number is (330) 953-2383.
What is Marissa Vardavas's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Marissa Vardavas enrolled in Medicare?
Yes. Marissa Vardavas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marissa Vardavas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Vardavas reassigns Medicare benefits to Kids Choice LLC (Boardman, OH). The 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 Marissa Vardavas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marissa Vardavas accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Marissa Vardavas 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 Marissa Vardavas was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.