Active NPI
Andrew Baker Marsh, P.T.
- Physical Therapy Clinic/Center
- Ann Arbor, MI
National Provider Identifier
1063633766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 5501009623
- Practice address
- 325 E Eisenhower Pkwy
Second Floor
Ann Arbor, MI 48108-3364 - Phone
- (734) 763-4767
- Fax
- (734) 763-3715
- NPI assigned
- May 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 5501009623 | MI | Primary |
Addresses
Primary practice location
325 E Eisenhower Pkwy
Second Floor
Ann Arbor, MI 48108-3364
Mailing address
2244 Mooreville Rd
Milan, MI 48160-9569
Phone (734) 763-4767
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 |
|---|---|---|---|
| 5501009623 | MI | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063633766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2244 MOOREVILLE RD",
"city": "MILAN",
"state": "MI",
"postal_code": "481609569",
"telephone_number": "734-763-4767",
"fax_number": "734-763-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E EISENHOWER PKWY",
"address_2": "SECOND FLOOR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481083364",
"telephone_number": "734-763-4767",
"fax_number": "734-763-3715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "ANDREW",
"middle_name": "BAKER",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MI",
"license": "5501009623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.