Marvin Bruce Neal Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00871 Issued in LA

Practice address

216 North Second St
Amite, LA 70422-0398

Phone

(985) 748-7878

Fax

(985) 748-2837

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amite Physical Therapy IncGroup PAC ID 5092753327, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amite Physical Therapy Inc

  dba Professional Physical Therapy

  • Specialist
  • Amite, LA
  • NPI 1265589451
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1003885310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704220398",
            "telephone_number": "985-748-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NORTH SECOND ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704220398",
            "telephone_number": "985-748-7878",
            "fax_number": "985-748-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "MARVIN",
        "middle_name": "BRUCE",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1986178",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad W Monnerjahn, PHARM D, RPH
• Jynika Moore
• Kessa Moore
• Javier E Moreno, OT
• Kay C Moser, DDS
• Melissa Kent Neal, OT
• Neuroscience & Pain Institute LLC (Neuroscience & Pain Institute)
• Regina Renee Nicholes
• Tyrell Orlandus Norman
• North Tangi Adult Day Care

• Physical Therapist in Amite, LA
• Providers in Amite, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.