MARION BIANCA TYSON (NPI# 1538616305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538616305 |
| Entity Type | Individual |
| Full Name | MARION BIANCA TYSON |
| Credential | DPT |
| Practice Address |
3890 Redwine Rd Sw Suite 114 Atlanta GA 30331-5582 |
| Practice Telephone | 4043447880 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2017-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT012482 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3890 REDWINE RD SW SUITE 114 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-5582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659908 | Dara Paul | Specialist | 3890 Redwine Rd Sw, Ste 210, Atlanta, GA 30331-5509 | 2005-09-12 |
| 1871853606 | Paddyson Chukwuka Chidi | Physical Therapist | 3890 Redwine Rd Sw, Suite 114, Atlanta, GA 30331-5582 | 2012-05-27 |
| 1447529342 | Pain Management of The South | Anesthesiology | 3890 Redwine Rd Sw, Suite 200, Atlanta, GA 30331-5582 | 2011-12-21 |
| 1487957924 | Pinnacle Diagnostic and Dme Services, LLC | Durable Medical Equipment & Medical Supplies | 3890 Redwine Rd Sw, Suite 200, Atlanta, GA 30331-5582 | 2010-12-06 |
| 1598072910 | Willis C Jenkins | Physical Therapy Assistant | 3890 Redwine Rd Sw, Suite 114, Atlanta, GA 30331-5582 | 2010-09-07 |
| 1184939456 | Accident Centers of Atlanta, LLC | Durable Medical Equipment & Medical Supplies | 3890 Redwine Rd Sw, Suite 200, Atlanta, GA 30331-5582 | 2010-08-11 |
| 1770811713 | Camp Creek Smiles Family Dentistry | Clinic/Center | 3890 Redwine Rd Sw, Ste 108, Atlanta, GA 30331-5582 | 2009-12-03 |
| 1922269612 | Camp Creek Pediatrics LLC | Clinic/Center | 3890 Redwine Rd Sw, Suite 100, Atlanta, GA 30331-5582 | 2008-06-24 |
| 1700072485 | Premier Eye Physicians PC | Clinic/Center | 3890 Redwine Rd Sw, Suite 212, Atlanta, GA 30331-5582 | 2007-09-17 |
| 1861600520 | Genesis Sports Medicine and Rehabilitation, LLC | Clinic/Center | 3890 Redwine Rd Sw, Atlanta, GA 30331-5582 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649791005 | Caitlin Moriah Clark | Physical Therapist | 1995 N Park Pl Se Ste 410, Atlanta, GA 30339-2072 | 2017-07-06 |
| 1669862769 | Westside Physical Therapy, LLC | Physical Therapist | 1695 Marietta Blvd Nw, At Atlanta Ballet, Atlanta, GA 30318-3644 | 2015-01-27 |
| 1689073553 | Ilana Danneman | Physical Therapist | 2016 Lakesprings Way, Atlanta, GA 30338-4414 | 2014-08-17 |
| 1366851107 | Mackenzie Olson | Physical Therapist | 1365 Clifton Rd Ne Ste 2218, Atlanta, GA 30322-1013 | 2014-08-06 |
| 1992066013 | Nia I Seidu-clark | Physical Therapist | 688 Spring St, Atlanta, GA 30354-1414 | 2012-06-05 |
| 1750601464 | Audrey K Jones | Physical Therapist | 195 Arizona Ave., L/w-2, Suite 400, Atlanta, GA 30307 | 2010-06-03 |
| 1588995054 | Stacy Hosp | Physical Therapist | 3280 Peachtree Rd Ne, 225, Atlanta, GA 30305-2430 | 2010-01-24 |
| 1326372293 | Leslie K Wolfe | Physical Therapist | 1144 Zimmer Dr Ne, Atlanta, GA 30306-3321 | 2009-09-25 |
| 1912988098 | Injury Prevention & Management Consulting LLC | Physical Therapist | 1 Dunwoody Park, Suite 121, Atlanta, GA 30338-6202 | 2005-11-07 |
| 1982266284 | Sabrina Michelle Viola | Physical Therapist | 3200 Downwood Cir Nw Ste 700, Atlanta, GA 30327-5308 | 2019-07-08 |
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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.