Individual provider Active NPI

Marisa Norall

  • Physical Therapist
  • Tucker, GA
National Provider Identifier
1154874774
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013474 Issued in GA
Practice address
4450 Hugh Howell Rd Ste 17
Tucker, GA 30084-4726
Phone
(770) 939-0998
NPI assigned
Jul 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013474 GA Primary

Addresses

Primary practice location

4450 Hugh Howell Rd Ste 17
Tucker, GA 30084-4726

Mailing address

4450 Hugh Howell Rd Ste 17
Tucker, GA 30084-4726
Phone (770) 939-0998

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1469923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1154874774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 HUGH HOWELL RD STE 17",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844726",
            "telephone_number": "770-939-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 HUGH HOWELL RD STE 17",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844726",
            "telephone_number": "770-939-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORALL",
        "first_name": "MARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-31",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.