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Deactivated NPI 1104198738 Deactivated / Inactive NPI Male Practitioner

Marvin L Stitt , PT

Contractor • Santa Fe, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marvin Stitt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 27, 2012
NPI Deactivation Date April 03, 2025
Total Practice Duration ~13 Years of Practice (2012 – 2025)

Professional Overview & Biography Verified Profile Summary

Marvin Stitt, PT was a registered Contractor practicing in Santa Fe, NM. Throughout an active medical career spanning 13 years, Marvin Stitt provided care at the practice location at 44 TANGO RD until profile deactivation on 2025-04-03.

Historical Medicare Part B clinical services included therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

44 Tango Rd

Santa Fe, NM 875067148

Telephone 5128009685

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Santa Fe, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Santa Fe, NM (65 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
155 22 $64.94 $26.40
97140 Therapy procedure using manual technique, each 15 minutes
125 17 $60.00 $22.80

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License NM 3085

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 03, 2025

Record deactivated on April 03, 2025

NPI Profile Active January 27, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 27, 2012

Registered at 44 TANGO RD, SANTA FE, NM 875067148 (Tel: 5128009685)

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Updated Business Mailing Address January 27, 2012

Registered at 44 TANGO RD, SANTA FE, NM 875067148

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Provider Name / Credentials Updated January 27, 2012

Recorded as MARVIN STITT, P.T.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2012

Contractor (License #3085 in NM)

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Initial NPI Registration & Enumeration January 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104198738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2012
Last Update: January 27, 2012
Deactivation Date: April 03, 2025

Mailing Address

44 Tango Rd

Santa Fe, NM 875067148

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.