Active NPI
Marvin Newton-West, PT, DPT
- Physical Therapist
- Jonesboro, GA
National Provider Identifier
1972932135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011306
- Practice address
- 335 Upper Riverdale Rd
Suite B-10
Jonesboro, GA 30236-1099 - Phone
- (770) 907-5743
- Fax
- (770) 907-5746
- NPI assigned
- Nov 7, 2013
- 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 | PT011306 | GA | Primary |
Addresses
Primary practice location
335 Upper Riverdale Rd
Suite B-10
Jonesboro, GA 30236-1099
Mailing address
3204 Waldrop PL
Decatur, GA 30034-7423
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011306 | GA | MD | Physical Therapist |
Interoperability endpoints
- marvin.newton-west.1@15749.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1972932135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 WALDROP PL",
"city": "DECATUR",
"state": "GA",
"postal_code": "300347423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 UPPER RIVERDALE RD",
"address_2": "SUITE B-10",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361099",
"telephone_number": "770-907-5743",
"fax_number": "770-907-5746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON-WEST",
"first_name": "MARVIN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.