Marcus Alexander Ivey, PT, DPT
Individual provider Active NPI Physical Therapist · Cramerton, NC
NPI 1487246161 · NPPES record last updated Feb 4, 2021
Key facts
- NPI
- 1487246161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P15458 (NC)
- Practice address
- 500 Cramer Mountain Rd
Cramerton, NC 28032-1663 - Phone
- (704) 389-5120
- NPI assigned
- Feb 4, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210302002917 | NC | Practitioner - Physical Therapist in Private Practice | 6305252115 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Outpatient Rehabilitation Services, LLC | Physical Therapist | Current |
Accepting new patients |
| Paragon Outpatient Rehabilitation Services, LLC | Current |
Accepting new patients | |
| Comprehensive Therapeutics LTD | Physical Therapist | Current |
Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current |
Accepting new patients |
| Rehabcare Group East, LLC | Past | Accepting new patients |
Locations
500 Cramer Mountain Rd
Cramerton, NC 28032
Phone (704) 389-5120
2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P15458 | NC | Yes |
Addresses
Primary practice location
500 Cramer Mountain Rd
Cramerton, NC 28032-1663
Mailing address
500 Cramer Mountain Rd
Cramerton, NC 28032-1663
Phone (704) 389-5120
Other providers in Cramerton, NC
- William Preston Guy III
- Phyllis Hattaway
- Immortal Athletics LLC
- Integrated Care Pharmacies, LLC
- Lee Isley
- Russell Keeney
- Caro Lamarque
- Landing Ministry Inc
- Let Me Be Your Angel Therapeutic Services LLC
- Micropharm Inc
All providers in Cramerton, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.