Marcus Anthong Ballard, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-2314 Issued in AR

Practice address

149 CR 360
Jonesboro, AR 72401

Phone

(870) 761-5253

NPI assigned

Jun 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1376770552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 COUNTY ROAD 360",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724010299",
            "telephone_number": "870-761-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CR 360",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-761-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "MARCUS",
        "middle_name": "ANTHONG",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA-2314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Baldwin, LPC
• John Franklin Ball, M.D.
• Michael W Ball, NP
• Haley Elizabeth Ballard, QBHP
• Lori Ballard
• Breanna Ballew
• Megan A Baltz-Seawel, MHPP
• Douglas A Baltz, PHARMD
• Lesli Annette-Elkins Baltz, LCSW, LPE-I
• Mark Baltz, M.D.

• Physical Therapy Assistant in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.