Marcus Conner

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP054016T Issued in VA

Practice address

150 Burnetts Way Ste 230
Suffolk, VA 23434-8168

Phone

(914) 294-4050

Fax

(631) 760-8306

NPI assigned

Aug 15, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ivyrehab Sept, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1982657433
  Medicare reassignment Care Compare group
• Carolina Rehabilitation Inc

  • Physical Therapist
  • Supply, NC
  • NPI 1427142561
  NPD
• Edwards and Associates Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Beulaville, NC
  • NPI 1720670862

  Physical Therapist

  NPD
• Ivyrehab Sept, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, VA
  • NPI 1235955709

  Physical Therapist

  NPD (past)
• First Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Lexington, SC
  • NPI 1679513030
  NPD (past)

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1538045331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY STE 230",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348168",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Highland Center Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292039247",
            "country_code": "US",
            "telephone_number": "803-699-9775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 Crossover Rd",
            "address_purpose": "LOCATION",
            "city": "Beulaville",
            "state": "NC",
            "postal_code": "285188801",
            "country_code": "US",
            "telephone_number": "910-298-6455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "MARCUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-15",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24340",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP051125T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP054016T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassus BSMH Hampton Roads Hospice LLC
• Sarah-Ruth H Conboy, PT, DPT
• Connect Hearing, Inc.
• Connecting Hearts Healthcare, LLC
• Ashanti Courtney Conner, LPC
• Devin Connors
• Miata Cook, LCSW
• Averi Renise Cooke, LPC
• Erica Lynn Cooke, NP
• Janisa Cooke

• Physical Therapist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.