Organization Active NPI

Jason Marchetti MD PA

  • Physical Medicine & Rehabilitation Physician
  • Carrollton, TX
National Provider Identifier
1144493156
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L7470 Issued in TX
Legal business name
JASON MARCHETTI MD PA
Practice address
4333 N Josey LN Ste 204
Carrollton, TX 75010-4631
Phone
(214) 233-6490
Fax
(888) 417-4939
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Dr. Jason M Marchetti, M.D.
Title
President
Phone
(214) 402-4825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X L7470 TX Primary

Addresses

Primary practice location

4333 N Josey LN Ste 204
Carrollton, TX 75010-4631

Mailing address

815 Lady of the Lake Blvd
Lewisville, TX 75056-5720
Phone (214) 402-4825

National Provider Directory

National Provider Directory

Locations

920 S Belt Line Rd
Ste 250
Coppell, TX 75019
Phone (469) 307-5111

2809 S Mayhill Rd
Denton, TX 76208
Phone (214) 402-4825

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1144493156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LADY OF THE LAKE BLVD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565720",
            "telephone_number": "214-402-4825",
            "fax_number": "888-417-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN STE 204",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104631",
            "telephone_number": "214-233-6490",
            "fax_number": "888-417-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON MARCHETTI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "MARCHETTI",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-402-4825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L7470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.