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

Marissa Danielle Hagenbruch, DPT

Individual provider Physical Therapist · NPI 1467189357

Marissa Danielle Hagenbruch, DPT is a Physical Therapist in Private Practice in Kingsland, Georgia. Qualified in 2022, 4 years ago. Practices with Emergeortho PA, a 724-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia, North Carolina and Virginia.

Years since qualifying
4
Licensed in
GA, NC, VA
In the registry since
2022
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1390 Boone Avenue Ext Ste 23
Kingsland, GA 31548-6516
Phone: (912) 319-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 245 E Nc Highway 54 Ste 103, Durham, NC 27713-2552 — (919) 907-3103
  • 2145 Country Club Rd Ste 200, Jacksonville, NC 28546-2404 — (252) 726-1802
  • 911 B St Ste 102, Chesapeake, VA 23324-2462 — (757) 548-0014

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP060297T (GA)
Physical Therapist Taxonomy 225100000X · Licence CP051288T (VA)
Physical Therapist Taxonomy 225100000X · Licence P21503 (NC)

Record details

NPI number1467189357
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESJuly 26, 2026
Certification dateJuly 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Emergeortho Pa — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kingsland