Nicole Marie Marshall, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61501 Issued in OR

Practice address

2505 NW Todds Crest Dr
Bend, OR 97703-7525

Phone

(425) 870-9059

NPI assigned

Jul 31, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kindering Center

  • Specialist
  • Bellevue, WA
  • NPI 1275670572
  NPD (past)

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225384969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 NW TODDS CREST DRIVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "425-870-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 NW TODDS CREST DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037525",
            "telephone_number": "425-870-9059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16120 NE 8th St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980083937",
            "country_code": "US",
            "telephone_number": "425-747-4004",
            "fax_number": "425-747-1069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60291163",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie D Marsh, LPN
• Marshall Street Dental Clinic
• Gabrielle Warren Marshall, OD
• Kaija Marshall
• Katrina Marshall, LMT
• Sondra B Marshall, PHD
• Angela Marie Mart, MOTR/L
• Amy Suzanne Martens, DO
• Julia Lynch Martens, PT
• Alyson Martin, BCBA

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.