Marynell Holden, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0007741 Issued in WA

Practice address

2142 W Railroad Ave
Suite a
Shelton, WA 98584-7813

Phone

(360) 426-0175

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Hood Canal Therapy and Fitness

  • Physical Therapist
  • Union, WA
  • NPI 1700110590
  NPD (past) Authorized official

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1235334574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "UNION",
            "state": "WA",
            "postal_code": "985920132",
            "telephone_number": "360-898-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 W RAILROAD AVE",
            "address_2": "SUITE A",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847813",
            "telephone_number": "360-426-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "MARYNELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT0007741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7124621",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan B Hodgson, SUDPT
• Genoveva Banal Hoene
• Joseph R. Hoffman, M.D.
• Breann Hogie
• Brandon Holcomb, MOTR/L
• Matthew Holms
• Hood Canal School District
• Andrea Hornbeck, SUDP, CAR
• Peggy A Hosford, M.D.
• Mary Meitzu Huang, DDS

• Physical Therapist in Shelton, WA
• Providers in Shelton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.