Marissa Danielle Hagenbruch, DPT
NPI 1467189357ActiveIndividual· Physical Therapist· Kingsland, GA
Physical Therapist (DPT) with Agilitas USA, Inc and 2 other groups, practicing in Kingsland, Georgia. Medicare paid $13,586 for services to 37 patients in 2024.
Overview
| NPI | 1467189357 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Aug 2, 2022 |
| Last updated in NPPES | Jul 26, 2026 |
| Certified by provider | Jul 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | CP060297T | GA |
| Physical Therapist | 225100000X | CP051288T | VA |
| Physical Therapist | 225100000X | P21503 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NC); Practitioner - Physical Therapist in Private Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 37 |
|---|---|
| Services billed | 735 across 11 procedure codes |
| Paid by Medicare | $13,586 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Agilitas USA, IncMobile, AL · 831 clinicians
- Emergeortho PALeland, NC · 731 clinicians
- Ivyrehab Sept, LLCDaleville, VA · 223 clinicians
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