Active NPI
Teresa Marcus, PTA
- Physical Therapy Assistant
- Navarre, FL
National Provider Identifier
1427235282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 18025
- Practice address
- 1921 Ortega St
Navarre, FL 32566-4111 - Phone
- (850) 936-8919
- Fax
- (850) 936-8936
- NPI assigned
- Jan 23, 2008
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA 18025 | FL | Primary |
Addresses
Primary practice location
1921 Ortega St
Navarre, FL 32566-4111
Mailing address
1921 Ortega St
Navarre, FL 32566-4111
Phone (850) 936-8919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 18025 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Breeze Physical Therapy Inc. | Past | Accepting new patients | |
| Rehabclinics SPT Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Pensacola, FL
- NPI 1730183153
-
- Physical Therapist
- Eldersburg, MD
- NPI 1164427092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1427235282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 ORTEGA ST",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325664111",
"telephone_number": "850-936-8919",
"fax_number": "850-936-8936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 ORTEGA ST",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325664111",
"telephone_number": "850-936-8919",
"fax_number": "850-936-8936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "TERESA",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 18025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Navarre, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.