MARTY JACOB BROCK (NPI# 1437793163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437793163 |
| Entity Type | Individual |
| Full Name | MARTY JACOB BROCK |
| Credential | DPT |
| Practice Address |
1220 Jefferson St Laurel MS 39440-4355 |
| Mailing Address |
206 J C Bryant Rd Hattiesburg MS 39401-8520 |
| Practice Telephone | 6014264000 |
| Mailing Telephone | 6015439018 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT6673 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427485036 | Marty Dewayne Brock | Counselor | 214 Prosperity Church Rd, Bainbridge, GA 39817-8278 | 2013-09-27 |
| Street Address |
1220 JEFFERSON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973542 | South Central Regional Medical Center | General Acute Care Hospital | 1220 Jefferson St, Laurel, MS 39440-4355 | 2005-06-24 |
| 1730799578 | Holly Marie White | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2020-08-06 |
| 1407495492 | David Caldwell | Physician Assistant | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-12-23 |
| 1659918084 | Elizabeth Allen | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-12-04 |
| 1598300626 | Nicole Nielsen | Physical Therapist | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-11-13 |
| 1881253557 | Sarah M Wooten | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-06-06 |
| 1730742933 | Hanna Rae Mccoy | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-04-15 |
| 1801372685 | Anna Seals | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2018-07-16 |
| 1982195137 | Erica Windham | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440 | 2018-05-23 |
| 1811414196 | Leslie Ann Fisher | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2017-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839830 | Maria Gracia B Dellera | Physical Therapist | 7603 Cypress St, Laurel, MD 20707-6880 | 2020-04-11 |
| 1710528088 | Tessa Merritt | Physical Therapist | 14190a Baltimore Ave, Laurel, MD 20707-5007 | 2019-10-08 |
| 1861966160 | Mosaddegh Physical Therapy Inc. | Physical Therapist | 14113 Baltimore Ave Ste B, Laurel, MD 20707-5073 | 2019-01-20 |
| 1073007001 | Jessica Russell Silver | Physical Therapist | 14190 Baltimore Ave Ste A, Laurel, MD 20707-5098 | 2018-06-22 |
| 1942714134 | Health/works,llc | Physical Therapist | 14625 Baltimore Ave Ste 824, Laurel, MD 20707-4902 | 2017-11-27 |
| 1164969002 | Vaibhavi Hasit Mehta | Physical Therapist | 6936 Andersons Way, Apt# 202, Laurel, MD 20707-6950 | 2017-01-30 |
| 1225575152 | Brittany Omess | Physical Therapist | 3626 Marcey Creek Rd, Laurel, MD 20724-1915 | 2017-01-30 |
| 1376087007 | Clint Woo | Physical Therapist | 9837 Wilderness Ln, Laurel, MD 20723-5504 | 2016-12-15 |
| 1043603475 | United Physical Therapy Associates | Physical Therapist | 7634 N Arbory Way, Laurel, MD 20707-5540 | 2015-03-10 |
| 1225439193 | Lailani Ponce | Physical Therapist | 8369 Cherry Ln, Laurel, MD 20707-4831 | 2014-09-10 |
| Find all providers in LAUREL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.