Individual provider Active NPI

Marcy Beth Fleming, PT, LAT, ATC

  • Physical Therapist
  • Killeen, TX
National Provider Identifier
1093020208
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1314682 Issued in TX
Practice address
2300 S Clear Creek Rd Ste 102
Killeen, TX 76549-4985
Phone
(254) 554-2637
NPI assigned
Aug 11, 2010
Last updated
Feb 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1314682 TX Primary
Athletic Trainer 2255A2300X AT2892 TX
Health Educator 174H00000X TX

Addresses

Primary practice location

2300 S Clear Creek Rd Ste 102
Killeen, TX 76549-4985

Mailing address

7401 FM 1237
Moody, TX 76557-3249
Phone (254) 493-7131

Other practice location 1

9219 Garland Rd
Suite 2107
Dallas, TX 75218-3697
Phone (469) 341-5676

Other names 1

  • Marsha Frasier Former name

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
1314682TXMDPhysical Therapist
AT2892TXMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Adventist Hospital Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1093020208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 FM 1237",
            "city": "MOODY",
            "state": "TX",
            "postal_code": "765573249",
            "telephone_number": "254-493-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S CLEAR CREEK RD STE 102",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494985",
            "telephone_number": "254-554-2637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9219 Garland Rd",
            "address_2": "Suite 2107",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752183697",
            "country_code": "US",
            "telephone_number": "469-341-5676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "MARCY",
        "middle_name": "BETH",
        "credential": "PT, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1314682",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT2892",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARSHA",
            "last_name": "FRASIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.