Active NPI
Mary Ann O'Malley, PT
- Physical Therapist
- Greenville, NC
National Provider Identifier
1497880256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2352
- Practice address
- 106 E Victoria CT Ste D
Greenville, NC 27858-5708 - Phone
- (252) 321-6001
- Fax
- (252) 321-6004
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2352 | NC | Primary |
Addresses
Primary practice location
106 E Victoria CT Ste D
Greenville, NC 27858-5708
Mailing address
200 Castle Way
Winterville, NC 28590-9471
Phone (252) 321-7985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7210470 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2352 | NC | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Innovations, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Greenville, NC
- NPI 1902896400
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497880256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CASTLE WAY",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285909471",
"telephone_number": "252-321-7985",
"fax_number": "252-321-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 E VICTORIA CT STE D",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585708",
"telephone_number": "252-321-6001",
"fax_number": "252-321-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7210470",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.