Active NPI
Lisa Diane Marshall, PT
- Physical Therapist
- Canton, OH
National Provider Identifier
1154532281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-007852
- Practice address
- 2821 Woodlawn Ave NW
Canton, OH 44708-1423 - Phone
- (330) 479-4805
- Fax
- (330) 479-4803
- NPI assigned
- May 24, 2007
- Sex
- Female
- 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 Therapist | 225100000X | PT-007852 | OH | Primary |
Addresses
Primary practice location
2821 Woodlawn Ave NW
Canton, OH 44708-1423
Mailing address
2451 Fairchild Cir NW
Uniontown, OH 44685-6630
Phone (330) 499-7174
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 |
|---|---|---|---|
| PT-007852 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154532281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 FAIRCHILD CIR NW",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446856630",
"telephone_number": "330-499-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 WOODLAWN AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447081423",
"telephone_number": "330-479-4805",
"fax_number": "330-479-4803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "LISA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT-007852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
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.