Tye Marr, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007416 Issued in GA

Practice address

4900 Ivey Rd NW
Suite 1001
Acworth, GA 30101-4001

Phone

(770) 917-0924

Fax

(770) 917-0926

NPI assigned

Jul 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Rehab Associates, LLC

  • Physical Therapy Clinic/Center
  • Jasper, AL
  • NPI 1033886486

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1689605958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 TECHNACENTER DR",
            "address_2": "SUITE 300",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176028",
            "telephone_number": "334-625-5795",
            "fax_number": "334-396-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 IVEY RD NW",
            "address_2": "SUITE 1001",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014001",
            "telephone_number": "770-917-0924",
            "fax_number": "770-917-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARR",
        "first_name": "TYE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11724391",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shenae Amelia March, BCBA
• Marie Stone Counseling, LLC
• Marietta Eye Clinic
• Marietta Eye Optical Inc
• Mark a Lipschitz DC, P.C.
• Cara Martin
• Jamita Martin
• Jason Alan Martin, DPT
• Melissa B Martin, PT
• Ralph Henry Martin, DO

• Physical Therapist in Acworth, GA
• Providers in Acworth, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.