Individual provider Active NPI

Marnie Allegrucci Bahner, PT

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1477620144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7864 Issued in NC
Practice address
2002 Eastwood Rd Ste 301
Wilmington, NC 28403-7203
Phone
(910) 256-4442
NPI assigned
Nov 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7864 NC Primary

Addresses

Primary practice location

2002 Eastwood Rd Ste 301
Wilmington, NC 28403-7203

Mailing address

5107 Nicholas CRK
Wilmington, NC 28409-2356
Phone (910) 794-8454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019001080 NC Practitioner - Physical Therapist in Private Practice 1456312917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5619 Carolina Beach Rd
Suite 120
Wilmington, NC 28412-2815
Phone (910) 790-1976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7864NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince May 23, 2022 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince May 23, 2022 Accepting new patients
Wilmington Physical Therapy Inc Physical Therapist PastSince Dec 1, 2013 Accepting new patients
PT by the Sea, Inc Physical Therapist Past Accepting new patients

Locations

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

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

5619 Carolina Beach Rd
Ste 120
Wilmington, NC 28412
Phone (910) 790-1976

Organizations & group practices 5

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477620144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 NICHOLAS CRK",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092356",
            "telephone_number": "910-794-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 EASTWOOD RD STE 301",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037203",
            "telephone_number": "910-256-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNER",
        "first_name": "MARNIE",
        "middle_name": "ALLEGRUCCI",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "7864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.