Active NPI
Marianna S. Birdsong, DPT, PT
- Physical Therapist
- Lenoir, NC
National Provider Identifier
1073064085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12588
- Practice address
- 322 Nuway Cir
Lenoir, NC 28645-3656 - Phone
- (352) 255-5759
- NPI assigned
- Oct 14, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12588 | GA | Primary |
Addresses
Primary practice location
322 Nuway Cir
Lenoir, NC 28645-3656
Mailing address
322 Nuway Cir
Lenoir, NC 28645-3656
Phone (352) 255-5759
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 |
|---|---|---|---|
| 12588 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1073064085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 NUWAY CIR",
"city": "LENOIR",
"state": "NC",
"postal_code": "286453656",
"telephone_number": "352-255-5759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 NUWAY CIR",
"city": "LENOIR",
"state": "NC",
"postal_code": "286453656",
"telephone_number": "352-255-5759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRDSONG",
"first_name": "MARIANNA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-14",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "12588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenoir, NC
- Christopher Lee Bennett, PHARMD
- Sara Beyer, MD
- Waydell B Bicking
- Bio-Medical Applications of North Carolina, Inc.
- Bionic Prosthetics and Orthotics Group LLC
- Bloom Counseling Services, PLLC
- Blue Ridge Healthcare Medical Group, Inc
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.