Active NPI
Jason Marchetti MD PA
- Physical Medicine & Rehabilitation Physician
- Carrollton, TX
National Provider Identifier
1144493156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- L7470
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Denton, TX
- NPI 1427406917
-
- Physical Medicine & Rehabilitation Physician
- Coppell, TX
- NPI 1912355447
-
- Physical Medicine & Rehabilitation Physician
- Flower Mound, TX
- NPI 1932559861
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.