Individual provider Active NPI

Mari Therrien, PT, DSC, PCS

  • Pediatric Physical Therapist
  • Tallahassee, FL
National Provider Identifier
1851553895
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
31373 Issued in FL
Practice address
2213 Limerick Dr
Tallahassee, FL 32309-3506
Phone
(971) 227-9917
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5545 OR
Physical Therapist 225100000X 60003247 WA
Pediatric Physical Therapist 2251P0200X PT022310 PA
Pediatric Physical Therapist 2251P0200X 31373 FL Primary

Addresses

Primary practice location

2213 Limerick Dr
Tallahassee, FL 32309-3506

Mailing address

2213 Limerick Dr
Tallahassee, FL 32309-3506
Phone (971) 227-9917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5545ORMDEndodontist
60003247WAMDPhysical Therapist
31373FLMDPediatric Physical Therapist
PT022310PAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strawberry Fields, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/sfionline/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1851553895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 LIMERICK DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093506",
            "telephone_number": "971-227-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 LIMERICK DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093506",
            "telephone_number": "971-227-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERRIEN",
        "first_name": "MARI",
        "credential": "PT, DSC, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5545",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60003247",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT022310",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "31373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.