Individual provider Active NPI

Mary Beth Newsome, PT

  • Physical Therapist
  • Apex, NC
National Provider Identifier
1396090122
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19473 Issued in NC
Practice address
1481 Kelly Rd
Apex, NC 27502-9572
Phone
(919) 296-8180
NPI assigned
Jul 18, 2012
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305214493 VA
Physical Therapist 225100000X GA
Physical Therapist 225100000X P19473 NC Primary

Addresses

Primary practice location

1481 Kelly Rd
Apex, NC 27502-9572

Mailing address

860 Omni Blvd Ste 103
Newport News, VA 23606-4430
Phone (757) 223-9403

Other practice location 1

90 E Main St Ste A
Sylva, NC 28779-3030
Phone (828) 550-3923

Other practice location 2

860 Omni Blvd Ste 103
Newport News, VA 23606-4430
Phone (757) 223-9403

Other practice location 3

100 Fitness Dr
Fuquay Varina, NC 27526-7263
Phone (919) 557-3100

Other practice location 4

189 W Main St
Forest City, NC 28043-3051
Phone (828) 417-0090

Other names 1

  • Mary Beth Ozment Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, VA, MD4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180928002505 GA Practitioner - Physical Therapist in Private Practice 0547411894 Reassigns benefits to 1 organization
I20200622002998 NC Practitioner - Physical Therapist in Private Practice 0547411894 Reassigns benefits to 1 organization
I20210913001154 VA Practitioner - Physical Therapist in Private Practice 0547411894 Reassigns benefits to 1 organization
I20251107001917 MD Practitioner - Physical Therapist in Private Practice 0547411894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

910 Frederick Rd
Catonsville, MD 21228-4516
Phone (410) 644-1880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9229TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 13, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Mar 26, 2018 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Aug 3, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 13, 2025 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Apr 17, 2023 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Apr 17, 2023 Accepting new patients
Dynamix Physical Therapy LLC CurrentSince Jul 18, 2012 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Mar 26, 2018 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Aug 3, 2021 Accepting new patients
Kerry D. Friesen, M.D. PC Past Accepting new patients
Tidewater Physicians Multispecialty Group PC PastSince Nov 16, 2021 Accepting new patients
Custom Nutrition & Wellness LLC PastSince Oct 25, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

2580 Windy Hill Rd SE
Ste 300
Marietta, GA 30067
Phone (770) 916-1567

910 Frederick Rd
Catonsville, MD 21228

12143 Clarksville Pike
Ste 101
Clarksville, MD 21029
Phone (443) 230-5339

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

189 W Main St
Forest City, NC 28043
Phone (828) 417-0090

100 Fitness Dr
Fuquay Varina, NC 27526
Phone (919) 557-3100

5 N Lafayette Ave
Brownsville, TN 38012
Phone (731) 613-2214

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

6070 S 1st St
Milan, TN 38358
Phone (731) 613-2214

6070 S 1st St
Ste D
Milan, TN 38358
Phone (731) 613-2214

126 Davy Crockett Mall
Trenton, TN 38382
Phone (731) 613-2214

11761 Rock Landing Dr
Ste 8
Newport News, VA 23606

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 103
Newport News, VA 23606
Phone (757) 223-9103

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1396090122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 103",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-223-9403",
            "fax_number": "757-223-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 KELLY RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029572",
            "telephone_number": "919-296-8180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 E Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287793030",
            "country_code": "US",
            "telephone_number": "828-550-3923",
            "fax_number": "828-354-0209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 Omni Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064430",
            "country_code": "US",
            "telephone_number": "757-223-9403",
            "fax_number": "757-223-5546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Fitness Dr",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275267263",
            "country_code": "US",
            "telephone_number": "919-557-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 W Main St",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280433051",
            "country_code": "US",
            "telephone_number": "828-417-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214493",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "OZMENT",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.