Individual provider Active NPI

Courtney Marie Marenkovic, DPT

  • Physical Therapist
  • Oro Valley, AZ
National Provider Identifier
1255020970
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP036989T Issued in AZ
Practice address
12460 N Rancho Vistoso Blvd Ste 140
Oro Valley, AZ 85755-1989
Phone
(520) 615-6573
Fax
(520) 615-6573
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P22326 NC
Physical Therapist 225100000X CP036989T AZ Primary

Addresses

Primary practice location

12460 N Rancho Vistoso Blvd Ste 140
Oro Valley, AZ 85755-1989

Mailing address

300 Long Shoals Rd Apt 8I
Arden, NC 28704-7721
Phone (330) 327-8434

Other practice location 1

68 Crossroad Hill Rd
Canton, NC 28716-3703
Phone (828) 492-0592

Other practice location 2

1572 Sand Hill Rd Ste 101
Candler, NC 28715-0470
Phone (828) 552-5342

Other names 1

  • Courtney Nunley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230814000402 NC Practitioner - Physical Therapist in Private Practice 2264894997 Reassigns benefits to 2 organizations
I20251020002342 CA Practitioner - Physical Therapist in Private Practice 2264894997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Marin Physical Therapy IncGroup PAC ID 1052466950, 13 clinicians

Practice addresses (Care Compare)

421 Miller Ave
Mill Valley, CA 94941-2903
Phone (415) 388-8166

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
85.21
Promoting interoperability
99
Improvement activities
40
Cost
77.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP036989TAZMDPhysical Therapist
P22326NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Marin Physical Therapy Inc CurrentSince Sep 25, 2025 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Sep 24, 2023 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC Physical Therapist CurrentSince Sep 24, 2023 Accepting new patients

Locations

421 Miller Ave
Mill Valley, CA 94941
Phone (415) 388-8166

68 Crossroad Hill Rd
Canton, NC 28716
Phone (828) 492-0592

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602

Interoperability endpoints

  • Direct secure messaging: courtney.nunley.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1255020970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONG SHOALS RD APT 8I",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047721",
            "telephone_number": "330-327-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 N RANCHO VISTOSO BLVD STE 140",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551989",
            "telephone_number": "520-615-6573",
            "fax_number": "520-615-6573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Crossroad Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NC",
            "postal_code": "287163703",
            "country_code": "US",
            "telephone_number": "828-492-0592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1572 Sand Hill Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Candler",
            "state": "NC",
            "postal_code": "287150470",
            "country_code": "US",
            "telephone_number": "828-552-5342",
            "fax_number": "828-641-9303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARENKOVIC",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22326",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP036989T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "NUNLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.