Active NPI
Marion Duncan, P.T.
- Physical Therapist
- Chattanooga, TN
National Provider Identifier
1225430713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0000005544
- Practice address
- 2255 Center St
Ste.104
Chattanooga, TN 37421-2500 - Phone
- (423) 855-0745
- Fax
- (423) 855-7898
- NPI assigned
- Sep 16, 2014
- Last updated
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0000005544 | TN | Primary |
Addresses
Primary practice location
2255 Center St
Ste.104
Chattanooga, TN 37421-2500
Mailing address
4945 Bal Harbor Dr
Chattanooga, TN 37416-1714
Phone (423) 718-1627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4945 Bal Harbor Dr
Chattanooga, TN 37416-1714
Phone (423) 718-1627
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0000005544 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hans C Humberger | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- marion.markettia.duncan.1@30541.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Marion Markettia Duncan
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1598357683
-
- Physical Therapist
- Chattanooga, TN
- NPI 1003920406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1225430713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4945 BAL HARBOR DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374161714",
"telephone_number": "423-718-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 CENTER ST",
"address_2": "STE.104",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212500",
"telephone_number": "423-855-0745",
"fax_number": "423-855-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "MARION",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT0000005544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.