Marilou Ongat Agdaca, P.T.
Individual provider Active NPI Physical Therapist · Oneida, TN
NPI 1154540581 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154540581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3193 (TN)
- Practice address
- 605 North Main Street
Oneida, TN 37841 - Phone
- (423) 569-1600
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3193 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Therapeutics, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3193 | TN | Yes |
Addresses
Primary practice location
605 North Main Street
Oneida, TN 37841
Mailing address
150 Marlin Keeton Drive
Oneida, TN 37841
Phone (423) 569-1160
Other providers in Oneida, TN
- Rita L. Abbott
- Ava Lynn Adcock
- Virginia Dushay Adkins
- Ahp Knoxville Partnership
- Alicia M. Alexander
- Associates in Eye Care, Inc.
- Attentus of Scott County
- Attentus of Scott County LLC
All providers in Oneida, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.