Active NPI
David John Marshall
- Physical Therapy Assistant
- Seattle, WA
National Provider Identifier
1124289574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 60043601
- Practice address
- 12505 Greenwood Ave N
Seattle, WA 98133-8040 - Phone
- (206) 536-2616
- NPI assigned
- Jun 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 60043601 | WA | Primary |
Addresses
Primary practice location
12505 Greenwood Ave N
Seattle, WA 98133-8040
Mailing address
513 NE 179TH PL
Shoreline, WA 98155-3609
Phone (206) 313-9600
Other practice location 1
Bayview Manor
11 West Aloha Street
Seattle, Washington 98119
TM
Phone (206) 691-5340
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 |
|---|---|---|---|
| 60043601 | WA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1124289574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 NE 179TH PL",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981553609",
"telephone_number": "206-313-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12505 GREENWOOD AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338040",
"telephone_number": "206-536-2616"
}
],
"practiceLocations": [
{
"address_1": "Bayview Manor",
"address_2": "11 West Aloha Street",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "Washington",
"postal_code": "98119",
"country_code": "TM",
"telephone_number": "206-691-5340",
"country_name": "Turkmenistan",
"address_type": "FGN"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "60043601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.