Marc Gardner

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1210343 Issued in TX

Practice address

6213 Skyline Dr
#200
Houston, TX 77057-7036

Phone

(713) 880-4400

Fax

(713) 869-8637

NPI assigned

May 16, 2013

Last updated

May 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The San Antonio Orthopaedic Group LLPGroup PAC ID 6800798794, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marc.gardner.1@94.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The San Antonio Orthopaedic Group, LLP

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1720022494
  Medicare reassignment Care Compare group NPD
• The San Antonio Orthopaedic Group, LLP

  • Orthopedic Physical Therapist
  • San Antonio, TX
  • NPI 1770042152
  NPD
• Trinity Regional Medical Center

  dba UnityPoint Clinic

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1003252024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 SKYLINE DR",
            "address_2": "#200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577036",
            "telephone_number": "713-880-4400",
            "fax_number": "713-869-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 SKYLINE DR",
            "address_2": "#200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577036",
            "telephone_number": "713-880-4400",
            "fax_number": "713-869-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MARC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1210343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenesi Gardner, DNP, APRN
• Jennifer Laurel Gardner, LCSW
• Jeremy David Gardner, O.T.
• Julie Denise Gardner, RN
• Kiana Monet Gardner
• Marquis Gardner Sr.
• Michael Gardner
• Samantha Renee Gardner, MD
• Samuel T Gardner III, M.D.
• Shanna C Gardner, LPC-S

• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.