Charles T Marshall

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

308 W Circle Dr
East Lansing, MI 48824-3700

Phone

(309) 825-5070

NPI assigned

May 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1194399352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STRAWBERRY RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042833",
            "telephone_number": "309-825-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W CIRCLE DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488243700",
            "telephone_number": "309-825-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CHARLES",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall John Marsden, LMT
• Alex Marsh, PA-C
• Britany Nugent Marsh
• Kamara Marsh, MA, LPC, CAADC, ADS
• Benjamin Owen Marshall, MSN, FNP-BC, CPHQ
• Kristy Ott Marske
• Evan Martens
• Samuel Work Martin, PT, DPT
• Andrea Martineau, LMSW
• Brenda Martinez-Garcia

• Athletic Trainer in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.