Active NPI
Marcas D Ekart
- Physical Therapist
- Coos Bay, OR
National Provider Identifier
1508262015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 65241
- Practice address
- 1900 Woodland Dr
Coos Bay, OR 97420-2099 - Phone
- (541) 267-5151
- Fax
- (541) 266-4526
- NPI assigned
- Nov 11, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 11-06031 | KS | |
| Physical Therapist | 225100000X | 65241 | OR | Primary |
Addresses
Primary practice location
1900 Woodland Dr
Coos Bay, OR 97420-2099
Mailing address
200 W Douglas Ave
Wichita, KS 67202-3013
Phone (316) 263-0003
Other practice location 1
300 E 27th St
Bethel College
North Newton, KS 67117-8061
Phone (785) 456-3245
Other practice location 2
118 W Main St
Independence, KS 67301-3511
Phone (620) 331-0999
Other names 1
- Mariah Diane Ekart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-06031 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Medical Center Inc | Current | Accepting new patients | |
| Advanced PT, LLC | Past | Accepting new patients |
Locations
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Coos Bay, OR
- NPI 1407812365
-
- Physical Therapy Clinic/Center
- Wichita, KS
- NPI 1043805492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1508262015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023013",
"telephone_number": "316-263-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 WOODLAND DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202099",
"telephone_number": "541-267-5151",
"fax_number": "541-266-4526"
}
],
"practiceLocations": [
{
"address_1": "300 E 27th St",
"address_2": "Bethel College",
"address_purpose": "LOCATION",
"city": "North Newton",
"state": "KS",
"postal_code": "671178061",
"country_code": "US",
"telephone_number": "785-456-3245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "118 W Main St",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "KS",
"postal_code": "673013511",
"country_code": "US",
"telephone_number": "620-331-0999",
"fax_number": "620-331-1605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EKART",
"first_name": "MARCAS",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-11",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06031",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIAH",
"last_name": "EKART",
"middle_name": "DIANE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.