Individual provider Active NPI

Amy Lynn Marshall, PT

  • Physical Therapist
  • Harrisonburg, VA
National Provider Identifier
1184887564
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305004203 Issued in VA
Practice address
1481 Virginia Ave
Harrisonburg, VA 22802-2433
Phone
(540) 438-4228
Fax
(540) 438-4273
NPI assigned
Jul 7, 2008
Last updated
Aug 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305004203 VA Primary

Addresses

Primary practice location

1481 Virginia Ave
Harrisonburg, VA 22802-2433

Mailing address

200 Leaksville Rd
Luray, VA 22835-5301
Phone (540) 743-0502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181108000014 VA Practitioner - Physical Therapist in Private Practice 8123372224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Apex Network Virginia, LLCGroup PAC ID 2466700281, 6 clinicians

Practice addresses (Care Compare)

200 Leaksville Rd
Luray, VA 22835-5301
Phone (540) 743-0502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Network Virginia, LLC CurrentSince Jul 2, 2018 Accepting new patients
Back in Action Physical Therapy, LLC Past Accepting new patients
Virginia Mennonite Home, Inc Past Accepting new patients

Locations

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

406 N Main St
Bridgewater, VA 22812
Phone (540) 628-8638

200 Leaksville Rd
Luray, VA 22835
Phone (540) 743-0502

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1184887564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LEAKSVILLE RD",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228355301",
            "telephone_number": "540-743-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 VIRGINIA AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228022433",
            "telephone_number": "540-438-4228",
            "fax_number": "540-438-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.