Active NPI
Peter L Marshall, PT
- Physical Therapist
- Telluride, CO
National Provider Identifier
1003068438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1899
- Practice address
- 219 North Alder Street
Telluride, CO 81435-1303 - Phone
- (970) 318-1118
- NPI assigned
- Oct 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1899 | CO | Primary |
| Physical Therapist | 225100000X | PT 16683 | CA | |
| Physical Therapist | 225100000X | 003790-1 | NY |
Addresses
Primary practice location
219 North Alder Street
Telluride, CO 81435-1303
Mailing address
PO Box 1303
Telluride, CO 81435-1303
Phone (970) 318-1118
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1899 | CO | MD | Mental Health Counselor |
| PT 16683 | CA | MD | Physical Therapist |
| 003790-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1003068438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1303",
"city": "TELLURIDE",
"state": "CO",
"postal_code": "814351303",
"telephone_number": "970-318-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 NORTH ALDER STREET",
"city": "TELLURIDE",
"state": "CO",
"postal_code": "814351303",
"telephone_number": "970-318-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "PETER",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "1899",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 16683",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "003790-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Telluride, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.