Individual provider Active NPI

Timothy Edson Marahrens, P.T.

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1871782631
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6130 Issued in NC
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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 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

Enrollment IDStateProvider typePAC IDDetails
I20080211000347 NC Practitioner - Physical Therapist in Private Practice 6305929647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6130NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Therapy, Inc. Physical Therapist CurrentSince Oct 25, 2007 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.

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.

Verify at the official NPI Registry.