Provider Demographics
NPI:1679103287
Name:MARKI PHYSICAL THERAPY & GYM LLC
Entity Type:Organization
Organization Name:MARKI PHYSICAL THERAPY & GYM LLC
Other - Org Name:BEACH BARBELL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:910-465-1223
Mailing Address - Street 1:502 SCARLET CT
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-3827
Mailing Address - Country:US
Mailing Address - Phone:910-465-1223
Mailing Address - Fax:910-465-1223
Practice Address - Street 1:11 S KERR AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-1416
Practice Address - Country:US
Practice Address - Phone:910-465-1223
Practice Address - Fax:910-312-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy