Marvin G Payne, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1983 Issued in TN

Practice address

105 Meadowview Rd
Suite 4
Bristol, TN 37620-1725

Phone

(423) 844-6935

Fax

(423) 844-6937

NPI assigned

Jul 25, 2006

Last updated

Mar 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1952323982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 FORT HENRY DR",
            "address_2": "SUITE 300",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632240",
            "telephone_number": "423-239-1550",
            "fax_number": "423-239-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEADOWVIEW RD",
            "address_2": "SUITE 4",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201725",
            "telephone_number": "423-844-6935",
            "fax_number": "423-844-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MARVIN",
        "middle_name": "G",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "1983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3652505",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trusha Patel, DO
• Autumn Patterson
• Bethanie Patton
• Audra Arlene Payne, CMSSW
• Kelly H. Payne, FNP-C
• Robert Alan Peal, OT
• Ashley Louise Peirano, DO
• Sydney R Peltier, LPC
• Danielle Raven Pender, FNP
• Joe Taylor Pendergrass, RN

• Orthopedic Physical Therapist in Bristol, TN
• Providers in Bristol, TN by specialty
• Orthopedic Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.