Marilyn Rayburn Shiver, P.T., M.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007735 Issued in GA

Practice address

99 E Broad St
Camilla, GA 31730-1807

Phone

(229) 336-1115

Fax

(229) 336-1151

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Miss Marilyn Elizabeth Rayburn Former name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Passmore IncGroup PAC ID 7113068826, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Passmore Inc

  dba Montana Mobile Rehab

  • Physical Therapy Clinic/Center
  • Bozeman, MT
  • NPI 1245563733

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Flint River Physical Therapy LLC

  dba Fyzical Therapy and Balance Centers

  • Physical Therapy Clinic/Center
  • Camilla, GA
  • NPI 1164491015

  Physical Therapist

  NPD (past)
• Hospital Authority of Mitchell County

  dba Archbold Mitchell

  • Critical Access Hospital
  • Camilla, GA
  • NPI 1700830247
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1114996964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 NORTHPOINT DR",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317306749",
            "telephone_number": "229-336-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E BROAD ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301807",
            "telephone_number": "229-336-1115",
            "fax_number": "229-336-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVER",
        "first_name": "MARILYN",
        "middle_name": "RAYBURN",
        "name_prefix": "Mrs.",
        "credential": "P.T., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007735",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "GA",
            "license": "PT007735",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT007735",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "829428929A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RR MEDICAR",
            "identifier": "P00247221",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "RAYBURN",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "P.T., M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• RX Corner Enterprises LLC (Live Oak Pharmacy)
• Annie Salami
• Laura Santos, MS, CCC-SLP
• Cathy Scott
• Greg R. Shiver, PA
• Lajuana Shorter
• Alexandria Lashae Simmons, CPT
• Tonya Slaughter
• Jason Henry Smith, M.D.
• Bret A Snow, PTA

• Physical Therapist in Camilla, GA
• Providers in Camilla, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.