Individual provider Active NPI

Marian Thomas, PT

  • Physical Therapist
  • Holly Springs, NC
National Provider Identifier
1780130146
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16574 Issued in NC
Practice address
851 S Main St
Holly Springs, NC 27540-8907
Phone
(919) 467-4991
Fax
(919) 557-6084
NPI assigned
Aug 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 P16574 NC Primary

Addresses

Primary practice location

851 S Main St
Holly Springs, NC 27540-8907

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Other practice location 1

2 The Square at Lillington
Lillington, NC 27546-8030
Phone (910) 893-2850

Other names 1

  • Marian Thomas Sudano Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mthomas136815@direct.UNC.nchie.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004000536 NC Practitioner - Physical Therapist in Private Practice 0143518357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 The Square at Lillington
Lillington, NC 27546-8030

211 Friday Ctr Dr
Suite 2057
Chapel Hill, NC 27517-9499

2680 Impulsion Dr
New Hill, NC 27562-9344

325 N Valley View Dr
Taylors, SC 29687-6150

5221 Paramount Pkwy
Suite 220
Morrisville, NC 27560-4704

5221 Paramount Pkwy
Suite 420
Morrisville, NC 27560-5491

PO Box
Boston, MA 02241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P16574NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC CurrentSince Jun 6, 2023 Accepting new patients
Jaya Physical Therapy Current Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Jun 6, 2023 Accepting new patients
Chatham Hospital, Inc. CurrentSince Aug 8, 2017 Accepting new patients

Locations

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

100 Fitness Dr
Fuquay Varina, NC 27526
Phone (919) 557-3100

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

Interoperability endpoints

  • Direct secure messaging: mthomas136815@direct.unc.nchie.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1780130146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S MAIN ST",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408907",
            "telephone_number": "919-467-4991",
            "fax_number": "919-557-6084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 THE SQUARE AT LILLINGTON",
            "address_purpose": "LOCATION",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275468030",
            "country_code": "US",
            "telephone_number": "910-893-2850",
            "fax_number": "910-984-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mthomas136815@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "851 S Main St",
            "city": "Holly Springs",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275408907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIAN",
            "last_name": "SUDANO",
            "middle_name": "THOMAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.