Provider Demographics
NPI:1528424413
Name:MORABITO, MARCO (DPT)
Entity type:Individual
Prefix:
First Name:MARCO
Middle Name:
Last Name:MORABITO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6355 WALKER LN STE 404
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-3250
Mailing Address - Country:US
Mailing Address - Phone:703-797-6900
Mailing Address - Fax:703-767-6905
Practice Address - Street 1:6355 WALKER LN STE 404
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3250
Practice Address - Country:US
Practice Address - Phone:703-797-6900
Practice Address - Fax:703-767-6905
Is Sole Proprietor?:No
Enumeration Date:2016-01-07
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCP042657T225100000X
NY039764225100000X
VA2305211790225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCCP042657TOtherPT COMPACT