Cynthia Lynn Marshall, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400002876 Issued in VT

Practice address

175 Wilson Rd Ste 101
Middlebury, VT 05753-8858

Phone

(802) 388-3533

Fax

(802) 388-2334

NPI assigned

May 3, 2006

Last updated

May 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. Cynthia Lynn Goodman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Body and Mind Physical Therapy, PLC

  dba Bristol Physical Therapy

  • Physical Therapist
  • Bristol, VT
  • NPI 1750969796
  NPD
• Addison Wellness Inc

  dba Wells Physical Therapy Services

  • Physical Therapist
  • Middlebury, VT
  • NPI 1164475612
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1144288648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FOREST RIDGE RD",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538717",
            "telephone_number": "802-388-9541",
            "fax_number": "802-388-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WILSON RD STE 101",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538858",
            "telephone_number": "802-388-3533",
            "fax_number": "802-388-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400002876",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12288",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "43V055",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28901",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "GOODMAN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Greg Mairs
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• Gary Francis Margolis, PH.D.
• Katina Lynn Martin, N.D., L.AC.
• Martins Foods of South Burlington LLC (Hannaford Food and Drug)
• Mary Ann Dattilo Boyd PLLC
• Emily Millard Mathews, M.S., ATC
• David Peter Matthews, ATC

• Physical Therapist in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.