Active NPI
Timothy Edson Marahrens, P.T.
- Physical Therapist
- Wilmington, NC
National Provider Identifier
1871782631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6130
- Practice address
- 3909 Oleander Dr
Suite D
Wilmington, NC 28403-6730 - Phone
- (910) 686-2549
- Fax
- (910) 395-5773
- NPI assigned
- Oct 17, 2007
- Last updated
- Oct 17, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 6130 | NC | Primary |
Addresses
Primary practice location
3909 Oleander Dr
Suite D
Wilmington, NC 28403-6730
Mailing address
309 Wellington Dr
Wilmington, NC 28411-9588
Phone (910) 686-2549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6130 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
3909 Oleander Dr
Ste D
Wilmington, NC 28403
Phone (910) 395-5627
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.
-
- Physical Therapist
- Wilmington, NC
- NPI 1902983794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1871782631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 WELLINGTON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119588",
"telephone_number": "910-686-2549",
"fax_number": "910-395-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 OLEANDER DR",
"address_2": "SUITE D",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036730",
"telephone_number": "910-686-2549",
"fax_number": "910-395-5773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARAHRENS",
"first_name": "TIMOTHY",
"middle_name": "EDSON",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.