Healthcare Provider Details

I. General information

NPI: 1689519589
Provider Name (Legal Business Name): MARISA KRICK PT, DPT, DIPACLM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5051 GREENSPRING AVE STE 303
BALTIMORE MD
21209-4358
US

IV. Provider business mailing address

4 OAK TREE CT
TIMONIUM MD
21093-4020
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-7365
  • Fax: 410-601-7361
Mailing address:
  • Phone: 410-900-9311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number22588
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: