MARISSA HOLMES (DPT) – Physical Therapist, NPI 1275413171

MARISSA HOLMES (DPT) is a healthcare provider. based in Marion, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070.029484 (IL). The NPI Number for MARISSA HOLMES (DPT) is 1275413171

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MARISSA HOLMES (DPT)
NPI
1275413171
Phone
Not provided
Address
1301 KARRIS LN APT B
Enumeration Date
3 September 2025
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182527171
Graduation Year
2025 (1 year ago)
PAC ID
1254838212
Group Practice PAC ID
4284659657
Professional Enrollment ID
I20251007003192
Address ID
IL629462637HA924XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MARISSA HOLMES (DPT)

  • 1301 KARRIS LN APT B

    MARION, IL 629593197

    Phone:

    Type: Mailing

  • 924 S COMMERCIAL ST

    HARRISBURG, IL 629462637

    Phone: (618) 252-7171

    Fax: (618) 252-7272

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251007003192IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62959)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284659657View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does MARISSA HOLMES (DPT) have a public NPI I can cite?
Public records show MARISSA HOLMES (DPT) under NPI 1275413171.
Quick check: is MARISSA HOLMES (DPT) active?
Public NPPES data shows MARISSA HOLMES (DPT) with an active NPI status right now.
Which specialty label fits MARISSA HOLMES (DPT)?
NPPES ties MARISSA HOLMES (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARISSA HOLMES (DPT)?
MARISSA HOLMES (DPT) is associated with Marion, Illinois in the same public data insurers reference.
Can I export MARISSA HOLMES (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

2907, Williamson County Parkway, Marion, Williamson County, Illinois, 62959, United States
NPI: 1548268774
720 COUNTY ROAD 1435 N
NPI: 1689673410

MS. MARIA CULL (PT)

Physical Therapist
1818, Calico Road, Marion, Williamson County, Illinois, 62959, United States
NPI: 1932189982

BRIAN THOMAS TAYLOR (P.T.)

Physical Therapist
29, Cardinal Drive, Murphysboro, Jackson County, Illinois, 62966, United States
NPI: 1770522088

IVY GALLARDO DONNELLY (PT)

Physical Therapist
2401, West Main Street, Marion, Williamson County, Illinois, 62959, United States
NPI: 1134134992

LUIS JIMENEZ (PT)

Physical Therapist
2401, West Main Street, Marion, Williamson County, Illinois, 62959, United States
NPI: 1851307839

MRS. REBECCA SUE EDGINGTON

Occupational Therapy Assistant
11515 ROUTE 166
NPI: 1043314032
11953 PORSCH PL
NPI: 1124110051

MRS. KENDRA SUE SMITH (MPT)

Physical Therapist
204, North 12th Street, Herrin, Williamson County, Illinois, 62948, United States
NPI: 1235222779