John Marcus Norris, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA001169 Issued in GA

Practice address

1703 Meadows LN
Vidalia, GA 30474-8915

Phone

(912) 537-8921

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609086768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 12",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310559636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 MEADOWS LN",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748915",
            "telephone_number": "912-537-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "JOHN",
        "middle_name": "MARCUS",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA001169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Elwood, MD PC
• Ashley Nasworthy
• Terry Dewayne Neesmith Jr., R.PH.
• Wendy Neesmith, PHYSICAL THERAPIST
• Gregory Norkus, M.D.
• Shirley Mike Oates, CERTIFIED PEDIATRIC
• OB GYN Specialists of Vidalia PC
• Oconee Sleep Center
• Oconee Sleep Center, LLC
• On Point Mobile Phlebotomy LLC

• Physical Therapy Assistant in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Physical Therapy Assistant in Georgia

• 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.

Verify at the official NPI Registry.