Active NPI
PT Birth 2 Boomers LLC
- Physical Therapy Clinic/Center
- Marion, NC
National Provider Identifier
1194285734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PT BIRTH 2 BOOMERS LLC
- Practice address
- 136 N Logan St
Marion, NC 28752-3754 - Phone
- (828) 460-0841
- Fax
- (828) 559-2107
- NPI assigned
- Mar 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrienne Stearns Goodfred, P.T.
- Title
- Owner/Director
- Phone
- (828) 273-4187
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
136 N Logan St
Marion, NC 28752-3754
Mailing address
136 N Logan St
Marion, NC 28752-3754
Phone (828) 460-0841
National Provider Directory
National Provider DirectoryLocations
136 N Logan St
Marion, NC 28752
Phone (828) 460-0841
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Marion, NC
- NPI 1679379671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1194285734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 N LOGAN ST",
"city": "MARION",
"state": "NC",
"postal_code": "287523754",
"telephone_number": "828-460-0841",
"fax_number": "828-559-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 N LOGAN ST",
"city": "MARION",
"state": "NC",
"postal_code": "287523754",
"telephone_number": "828-460-0841",
"fax_number": "828-559-2107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PT BIRTH 2 BOOMERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-20",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "GOODFRED",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_middle_name": "STEARNS",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "828-273-4187",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.