Active NPI
Marcille C Baumgartner, PT
- Physical Therapist
- Houston, TX
National Provider Identifier
1003113416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1169026
- Practice address
- 6624 Fannin
Suite 2600
Houston, TX 77030 - Phone
- (713) 790-1818
- Fax
- (713) 790-7500
- NPI assigned
- Feb 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1169026 | TX | Primary |
Addresses
Primary practice location
6624 Fannin
Suite 2600
Houston, TX 77030
Mailing address
6624 Fannin
Suite 2600
Houston, TX 77030
Phone (713) 790-1818
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1169026 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1003113416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6624 FANNIN",
"address_2": "SUITE 2600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-790-1818",
"fax_number": "713-790-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6624 FANNIN",
"address_2": "SUITE 2600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-790-1818",
"fax_number": "713-790-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARTNER",
"first_name": "MARCILLE",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-21",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1169026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Andrea Vasquez Baumgarten, MA, LPC
- Christina Marie Baumgartner, RN, BSN
- Edward William Baumgartner Jr., M.D.
- Karen E. Baumgartner, RN, ANP
- Linda Jones Baumgartner, M.S., CCC-SLP
- Timothy Kevin Baumgartner, PH.D.
- William Baumgartner, MD
- Casey Bauri
- Dianne Callejo Bauri, FNP-C
- Holly Bauser-Heaton, M.D., PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.