Individual provider Active NPI

Marci Lynn Marshall, PT

  • Physical Therapist
  • Mount Airy, MD
National Provider Identifier
1013075001
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15874 Issued in MD
Practice address
6091 Toursome Dr
Mount Airy, MD 21771-8015
Phone
(240) 449-9870
NPI assigned
Dec 4, 2006
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15874 MD Primary

Addresses

Primary practice location

6091 Toursome Dr
Mount Airy, MD 21771-8015

Mailing address

6091 Toursome Dr
Mount Airy, MD 21771-8015
Phone (240) 449-9870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060509000908 MD Practitioner - Physical Therapist in Private Practice 2961413679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6091 Toursome Dr
Mount Airy, MD 21771-8015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Physical Therapy P a Physical Therapist CurrentSince May 1, 2006 Accepting new patients
Primary Physical Therapy, Inc. Physical Therapist PastSince May 1, 2021 Accepting new patients
Seneca Physical Therapy Inc Physical Therapist PastSince Mar 10, 1992 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1013075001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 TOURSOME DR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217718015",
            "telephone_number": "240-449-9870",
            "fax_number": "301-829-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 TOURSOME DR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217718015",
            "telephone_number": "240-449-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MARCI",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.