NPIMap

Individual provider Active NPI

Marisa Laws, PT, DPT, PCS

  • Pediatric Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1659938066
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
P18826 Issued in NC
Practice address
7532 Wilkins Dr
Fayetteville, NC 28311-9338
Phone
(910) 868-6000
Fax
(866) 475-8361
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9989 SC
Physical Therapist 225100000X P18826 NC
Pediatric Physical Therapist 2251P0200X P18826 NC Primary

Addresses

Primary practice location

7532 Wilkins Dr
Fayetteville, NC 28311-9338

Mailing address

7532 Wilkins Dr
Fayetteville, NC 28311-9338
Phone (910) 868-6000

Other names 1

  • Marisa White Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P18826NCMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move With Me Physical Therapy, LLC PastSince Jul 21, 2024 Accepting new patients
Integrative Therapy Concepts Past Accepting new patients
Lolly Therapeutics, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1659938066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 WILKINS DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119338",
            "telephone_number": "910-868-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7532 WILKINS DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119338",
            "telephone_number": "910-868-6000",
            "fax_number": "866-475-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWS",
        "first_name": "MARISA",
        "credential": "PT, DPT, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9989",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18826",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P18826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "WHITE",
            "credential": "PT, DPT, PCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.