Individual provider Active NPI

Nina Marasigan, P.T.

  • Physical Therapist
  • Maryville, TN
National Provider Identifier
1689770612
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3743 Issued in TN
Practice address
262 Cherokee Professional Park
Maryville, TN 37804-5153
Phone
(865) 980-0030
Fax
(865) 980-0031
NPI assigned
Sep 16, 2006
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3743 TN Primary

Addresses

Primary practice location

262 Cherokee Professional Park
Maryville, TN 37804-5153

Mailing address

6111 W Andrew Johnson Hwy Ste 5
Talbott, TN 37877-8585
Phone (423) 586-9495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902002232 TN Practitioner - Physical Therapist in Private Practice 6103200506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Healthcare Services, Inc. CurrentSince May 10, 2022 Accepting new patients

Locations

708 SW 3rd Ave
Ste 400
Portland, OR 97204

101 Glenleigh Ct
Knoxville, TN 37934
Phone (865) 671-1110

262 Cherokee Professional Park
Maryville, TN 37804
Phone (865) 980-0030

3614 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 586-9495

6111 W Andrew Johnson Hwy
Ste 5
Talbott, TN 37877
Phone (423) 586-9495

Organizations & group practices 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1689770612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 W ANDREW JOHNSON HWY STE 5",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778585",
            "telephone_number": "423-586-9495",
            "fax_number": "423-586-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CHEROKEE PROFESSIONAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045153",
            "telephone_number": "865-980-0030",
            "fax_number": "865-980-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASIGAN",
        "first_name": "NINA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "3743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.