Mary Rainey Parker, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004503 Issued in GA

Practice address

236 Florida St
Saint Simons Island, GA 31522-2636

Phone

(912) 242-3402

NPI assigned

May 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mary R Parker MPT PC

  • Physical Therapist
  • Saint Simons Island, GA
  • NPI 1437142064
  NPD (past) Authorized official

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659809366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 FLORIDA ST",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222636",
            "telephone_number": "912-242-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 FLORIDA ST",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222636",
            "telephone_number": "912-242-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARY",
        "middle_name": "RAINEY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000687629E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy L Ogletree, PH.D.
• Rainey Reanna Olliff, PA-C
• Frances L Owen, M.D.
• Pacella Counseling LLC
• Gwen Jean Pacella, LCSW
• Pediatrics of Glynn on the Island
• Performance Physio LLC
• Melinda H Peterlin, MD
• Karol Summers Pfister, RPH
• Physical Therapy Plus, Inc

• Physical Therapist in Saint Simons Island, GA
• Providers in Saint Simons Island, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.