Active NPI
Joey Marion Jr., PT
- Physical Therapist
- Mount Airy, NC
National Provider Identifier
1538540372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15589
- Practice address
- 639 W Independence Blvd
Mount Airy, NC 27030-3500 - Phone
- (336) 783-9400
- Fax
- (336) 783-9406
- NPI assigned
- Jun 17, 2015
- Sex
- Male
- 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 | 15589 | NC | Primary |
Addresses
Primary practice location
639 W Independence Blvd
Mount Airy, NC 27030-3500
Mailing address
1662 Old Highway 601
Mount Airy, NC 27030-8344
Phone (336) 783-9400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15589 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1538540372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1662 OLD HIGHWAY 601",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270308344",
"telephone_number": "336-783-9400",
"fax_number": "336-783-9406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 W INDEPENDENCE BLVD",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303500",
"telephone_number": "336-783-9400",
"fax_number": "336-783-9406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARION",
"first_name": "JOEY",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "15589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.