Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Boutin

Individual provider Physical Therapist · NPI 1538944541

Marissa Boutin is a Physical Therapist in Private Practice in Winchester, Virginia. Qualified in 2023, 3 years ago. Practices with Mvpt, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2023
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Practice location Address checks out

3052 Valley Ave Ste 101
Winchester, VA 22601-2672
Phone: (540) 535-7222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305216059 (VA)

Record details

NPI number1538944541
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing address3052 Valley Ave Ste 101, Winchester, VA 22601-2672

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mvpt, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winchester