Individual provider Active NPI

Maricel Oblepias

  • Physical Therapist
  • Tarboro, NC
National Provider Identifier
1497186282
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P11253 Issued in NC
Practice address
1000 Western Blvd
Tarboro, NC 27886-4017
Phone
(252) 823-0401
NPI assigned
Dec 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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 P11253 NC Primary

Addresses

Primary practice location

1000 Western Blvd
Tarboro, NC 27886-4017

Mailing address

187 Keys CT
Apt 7
Greenville, NC 27858-6445
Phone (252) 916-0514

Other identifiers 1

IdentifierTypeStateIssuer
P11253OtherNCNC PHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11648 Folsom Pass
San Antonio, TX 78245-2071

7200 Cambridge St
FL 10
Houston, TX 77030-4202

PO Box
Suite 290609
Nashville, TN 37229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P11253NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1497186282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 KEYS CT",
            "address_2": "APT 7",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586445",
            "telephone_number": "252-916-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WESTERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864017",
            "telephone_number": "252-823-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBLEPIAS",
        "first_name": "MARICEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PHYSICAL THERAPY LICENSE",
            "identifier": "P11253",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.