Marc D Rieg, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9980 Issued in NC

Practice address

2009 Neuse Blvd
New Bern, NC 28560-3470

Phone

(252) 636-9800

Fax

(252) 636-9855

NPI assigned

Feb 16, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Greenville Peak Performance Sports & Physical Therapy, LLC

  • Physical Therapist
  • Winterville, NC
  • NPI 1962603266
  NPD (past)
• Jacksonville Peak Performance Sports & Physical Therapy, L.L.C.

  • Specialist
  • Jacksonville, NC
  • NPI 1164482402
  NPD (past)
• Peak Performance Sports and Physical Therapy, LLC

  • Physical Therapist
  • New Bern, NC
  • NPI 1194714063
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1114991957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12830",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612830",
            "telephone_number": "252-636-9800",
            "fax_number": "252-636-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603470",
            "telephone_number": "252-636-9800",
            "fax_number": "252-636-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEG",
        "first_name": "MARC",
        "middle_name": "D",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "721157",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "079NE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Richardson, LCSWA
• Andrea Richmond, LMSWA
• Ridgeline New Bern LLC
• Jordan Ridgeway, O.D.
• Megan Ann Riedy, CCC-SLP
• Gianna Rigdon
• Cleasther Riggs-Gustus, LCSW
• John T Riggs, PA-C
• Kimberly Poole Riggs, MA, NCC, LPC
• Kimberly Hargett Rikard, PA-C

• Physical Therapist in New Bern, NC
• Providers in New Bern, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.