Individual provider Active NPI

Marilyn A Arnold, PTA

  • Physical Therapy Assistant
  • Merritt Island, FL
National Provider Identifier
1497363048
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
30072 Issued in FL
Practice address
1395 N Courtenay Pkwy Ste 102
Merritt Island, FL 32953-4474
Phone
(321) 986-8812
NPI assigned
Jul 20, 2020
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 30072 FL Primary

Addresses

Primary practice location

1395 N Courtenay Pkwy Ste 102
Merritt Island, FL 32953-4474

Mailing address

2393 Iowa Dr
Melbourne, FL 32935-2634
Phone (321) 591-6950

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30072FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A&M Therapy, Inc CurrentSince Aug 2, 2020 Accepting new patients
A&M Therapy, Inc PastSince Aug 2, 2020 Accepting new patients

Locations

1395 N Courtenay Pkwy
Ste 102
Merritt Island, FL 32953
Phone (321) 986-8812

Organizations & group practices 2

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1497363048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2393 IOWA DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352634",
            "telephone_number": "321-591-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY STE 102",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534474",
            "telephone_number": "321-986-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "MARILYN",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "30072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.