Individual provider Active NPI

Marc Thomas Lenzo

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1699291633
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17239 Issued in NC
Practice address
100 Ridge View Dr Ste 102
Cary, NC 27511
Phone
(919) 380-0964
NPI assigned
Aug 22, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305211163 VA
Physical Therapist 225100000X 17239 NC Primary

Addresses

Primary practice location

100 Ridge View Dr Ste 102
Cary, NC 27511

Mailing address

100 Ridge View Dr Ste 102
Cary, NC 27511-5589
Phone (919) 380-0964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190913001796 NC Practitioner - Physical Therapist in Private Practice 6709115819 Reassigns benefits to 1 organization
I20201001000566 VA Practitioner - Physical Therapist in Private Practice 6709115819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Solutions LLCGroup PAC ID 5496668667, 17 clinicians

Practice addresses (Care Compare)

106 W Stuart Dr
Galax, VA 24333-2114
Phone (276) 238-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17239NCMDPhysical Therapist
2305211163VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions LLC Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
PT Solutions of North Carolina LLC Physical Therapist CurrentSince Nov 1, 2019 Accepting new patients
PT Solutions of North Carolina LLC Physical Therapist CurrentSince Nov 1, 2019 Accepting new patients
PT Solutions, LLC CurrentSince Oct 26, 2020 Accepting new patients
PT Solutions of North Carolina LLC Physical Therapist CurrentSince Oct 12, 2025 Accepting new patients
PT Solutions, LLC Physical Therapist Current Accepting new patients

Locations

1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555

149 New Leicester Hwy
Asheville, NC 28806
Phone (828) 225-3838

100 Ridge View Dr
Ste 102
Cary, NC 27511
Phone (919) 380-0964

106 W Stuart Dr
Galax, VA 24333
Phone (276) 238-8900

54 Floyd Pike
Hillsville, VA 24343
Phone (276) 728-7280

1050 Holston Rd
Wytheville, VA 24382
Phone (276) 238-8900

Organizations & group practices 6

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699291633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIDGE VIEW DR STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115589",
            "telephone_number": "919-380-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGE VIEW DR STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-380-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZO",
        "first_name": "MARC",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211163",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "17239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.