Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marcus Shannon King, PTATCLAT

Individual provider Physical Therapist · NPI 1811930134

Marcus Shannon King, PTATCLAT is a Physical Therapist in Private Practice in Olive Branch, Mississippi. Qualified in 1998, 28 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
28
Licensed in
MS
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

6399 Goodman Rd Ste 108
Olive Branch, MS 38654-7070
Phone: (901) 652-0413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT2745 (MS)
Athletic Trainer Taxonomy 2255A2300X · Licence AT0383 (MS)

Record details

NPI number1811930134
Entity typeIndividual (Type 1)
GenderMale
Credentials PTATCLAT
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Olive Branch