Active NPI
Marnie Allegrucci Bahner, PT
- Physical Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7864
- Practice address
- 2002 Eastwood Rd Ste 301
Wilmington, NC 28403-7203 - Phone
- (910) 256-4442
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7864 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
| Wilmington Physical Therapy Inc | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Wilmington, NC
- NPI 1164699716
-
- Physical Therapist
- Leland, NC
- NPI 1588189112
-
- Physical Therapist
- Wilmington, NC
- NPI 1609981356
-
- Physical Therapist
- Wilmington, NC
- NPI 1356309090
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
- Jack Llorrac Bagley, PA-C
- Kacie Lynn Bagley, LCSWA
- Darby Ellen Bagshaw, CRNA
- Melinda Bagshaw, CRNA
- Swaleh Ali Bahamadi, MD
- Richard Scott Bahner, MD
- Loren Bahor, LCSWA
- Bailey Home Health Care Services Inc (Bailey Home Care Inc)
- Mary Alison Bailey Mattox, OT/L
- Bailey Physical Therapy and Wellness, LLC
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.