Active NPI
Marilyn Bethune Barnett, LPTA
- Physical Therapy Assistant
- Tucker, GA
National Provider Identifier
1033249347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A2363
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA003179 | GA | MD | Physical Therapy Assistant |
| A2363 | MD | MD | Physical Therapy Assistant |
| 2306603805 | VA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Rehabilitation Hospital
- Rockville, MD
- NPI 1043216773
-
- Rehabilitation Clinic/Center
- Silver Spring, MD
- NPI 1487019915
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.