Mary R Parker MPT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004503 Issued in GA

Legal business name

MARY R PARKER MPT PC

Practice address

236 Florida St
Saint Simons Island, GA 31522-2636

Phone

(912) 242-3402

Fax

(912) 638-2466

NPI assigned

Aug 30, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Rainey Parker, MPTNPI 1659809366

Title

Physical Therapist

Phone

(912) 242-3402

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Rainey Parker, PT

  • Physical Therapist
  • St Simons Island, GA
  • NPI 1659809366
  NPD (past) Authorized official

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437142064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 FLORIDA ST",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222636",
            "telephone_number": "912-242-3402",
            "fax_number": "912-638-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 FLORIDA ST",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222636",
            "telephone_number": "912-242-3402",
            "fax_number": "912-638-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY R PARKER MPT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "RAINEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "912-242-3402",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrie Corrie Mangan
• Margaret F. Carter, MD, PC
• Marietta Recovery Centers, Inc
• Marsh's Edge, LLC (Marsh's Edge)
• Robin Leigh Marshal, PTA
• Angela Lynn Mason, MS,PT
• Gidget Bragg Maybin
• Lachrista McCarter
• Tammyette McKoy
• Jennifer McPeters, PMHNP

• Physical Therapist in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.