Active NPI
Marc Randolph Farrow, PT
- Physical Therapist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P5999
- Practice address
- 1602 S Stratford Rd Ste 130
Winston Salem, NC 27103-2959 - Phone
- (336) 281-2045
- Fax
- (336) 276-2589
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P5999 | NC | Primary |
Addresses
Primary practice location
1602 S Stratford Rd Ste 130
Winston Salem, NC 27103-2959
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 373-2919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079PX | Other | NC | BCBS |
| 7406746 | Other | NC | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1602 S Stratford Rd
Suite 130
Winston Salem, NC 27103-2924
Phone (336) 281-2045
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 85.21
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5999 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activcare Physical Therapy, LLC | Single Specialty | Current | Accepting new patients |
| Raleigh Neurosurgical Clinic, Inc. | Single Specialty | Past | Accepting new patients |
Locations
166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042
1602 S Stratford Rd
Ste 130
Winston Salem, NC 27103
Phone (336) 281-2045
Interoperability endpoints
- marc.farrow.p12@direct.athleticoltd.nextgenshare.com
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Raleigh, NC
- NPI 1598702490
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1699759969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-373-2919",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 S STRATFORD RD STE 130",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032959",
"telephone_number": "336-281-2045",
"fax_number": "336-276-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARROW",
"first_name": "MARC",
"middle_name": "RANDOLPH",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NC",
"license": "P5999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "079PX",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7406746",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.