Individual provider Active NPI

Marilyn Bethune Barnett, LPTA

  • Physical Therapy Assistant
  • Tucker, GA
National Provider Identifier
1033249347
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A2363 Issued in MD
Practice address
2185 Northlake Parkway
Building 8, Suite 100
Tucker, GA 30084
Phone
(770) 493-6360
Fax
(301) 445-3198
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A2363 MD Primary
Physical Therapy Assistant 225200000X 2306603805 VA
Physical Therapy Assistant 225200000X PTA003179 GA

Addresses

Primary practice location

2185 Northlake Parkway
Building 8, Suite 100
Tucker, GA 30084

Mailing address

831 University Blvd, East
Suite #14
Silver Spring, MD 20903
Phone (301) 445-3191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA003179GAMDPhysical Therapy Assistant
A2363MDMDPhysical Therapy Assistant
2306603805VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Rehabilitation Hospital of Maryland Inc Past Accepting new patients
Adventist Rehabilitation Hospital of Maryland, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1033249347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 UNIVERSITY BLVD, EAST",
            "address_2": "SUITE #14",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20903",
            "telephone_number": "301-445-3191",
            "fax_number": "301-445-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 NORTHLAKE PARKWAY",
            "address_2": "BUILDING 8, SUITE 100",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "770-493-6360",
            "fax_number": "301-445-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "MARILYN",
        "middle_name": "BETHUNE",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2363",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603805",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.