Organization Active NPI

Marion Physical Therapy Center Ind.

  • Physical Therapy Clinic/Center
  • Marion, IN
National Provider Identifier
1346247020
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MARION PHYSICAL THERAPY CENTER IND.
Practice address
119 S Washington St
Suite B
Marion, IN 46952-3805
Phone
(765) 662-9905
Fax
(765) 662-9915
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Julius O Quezon, P.T., CPEDNPI 1376540054
Title
President
Phone
(765) 662-9905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X IN Primary

Addresses

Primary practice location

119 S Washington St
Suite B
Marion, IN 46952-3805

Mailing address

119 S Washington St
Suite B
Marion, IN 46952-3805
Phone (765) 662-9905

National Provider Directory

National Provider Directory

Locations

119 S Washington St
#B
Marion, IN 46952
Phone (765) 662-9905

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346247020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S WASHINGTON ST",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523805",
            "telephone_number": "765-662-9905",
            "fax_number": "765-662-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S WASHINGTON ST",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523805",
            "telephone_number": "765-662-9905",
            "fax_number": "765-662-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION PHYSICAL THERAPY CENTER IND.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "QUEZON",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-662-9905",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T., CPED"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.