Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARISSA DANIELLE HAGENBRUCH DPT
NPI 1467189357
Physical Therapist in Kingsland, GA

Active since August 02, 2022
1390 BOONE AVENUE EXT STE 23, KINGSLAND, GA 31548(912) 319-0400 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2026, Apr 20, 2026, Dec 29, 2025 and 3 more (6 updates tracked since 2022).

About Marissa Danielle Hagenbruch Dpt NPPES

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

MARISSA DANIELLE HAGENBRUCH DPT (NPI 1467189357) is an individual physical therapist in Kingsland, Georgia, licensed in Georgia (CP060297T) and active in the NPI registry since August 2022. She maintains 3 additional practice locations and is a graduate of Other (2022).

NPPES Registry Identity

NPI1467189357
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARISSA DANIELLE HAGENBRUCHCredential: DPT
Location Address1390 BOONE AVENUE EXT STE 23Kingsland, GA 31548-6516
Mailing Address1390 Boone Avenue Ext Ste 23Kingsland, GA 31548-6516 · (912) 319-0400
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 2, 2022
Last NPPES UpdateJuly 26, 20266 updates tracked since enumeration
NPPES CertifiedJuly 26, 2026
NPI 1467189357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in GA · CP060297T Licensed in VA · CP051288T Licensed in NC · P21503
Definition
Physical 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.
1390 BOONE AVENUE EXT STE 23, Kingsland, GA 31548

Secondary Practice Locations 3

Location 1245 E Nc Highway 54 Ste 103Durham, NC 27713-2552 · Phone (919) 907-3103 · Fax (919) 907-3104
Location 22145 Country Club Rd Ste 200Jacksonville, NC 28546-2404 · Phone (252) 726-1802 · Fax (252) 726-1805
Location 3911 B St STE 102Chesapeake, VA 23324-2462 · Phone (757) 548-0014 · Fax (757) 351-1930

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marissa Danielle Hagenbruch Dpt 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 ID1254717853
PECOS Enrollment IDI20221005002519, I20260212002549

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
227 services33 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
183 services29 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
99 services26 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
90 services30 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
84 services26 patients

Other Providers at the Same Location NPPES

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

Physical Therapist
1390 BOONE AVENUE EXT STE 23
KINGSLAND, GA 31548

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 Hagenbruch's NPI number?

The NPI number for Marissa Hagenbruch is 1467189357. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Marissa Hagenbruch located?

Marissa Hagenbruch practices at 1390 Boone Avenue Ext Ste 23, Kingsland, GA 31548. The listed phone number is (912) 319-0400.

What is Marissa Hagenbruch's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Marissa Hagenbruch enrolled in Medicare?

Yes. Marissa Hagenbruch 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.

What insurance does Marissa Hagenbruch accept?

Health plans from Blue Cross and Blue Shield of NC list Marissa Hagenbruch 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 Hagenbruch was last updated on July 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.