Marci Gage, PTA
Individual provider Active NPI Physical Therapy Assistant · West Memphis, AR
NPI 1235829136 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1235829136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 4822 (AR)
- Practice address
- 200 W Broadway St
West Memphis, AR 72301-3904 - Phone
- (870) 394-7000
- NPI assigned
- May 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4822 | AR | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4822 | AR | Yes |
Addresses
Primary practice location
200 W Broadway St
West Memphis, AR 72301-3904
Mailing address
200 W Broadway St
West Memphis, AR 72301-3904
Phone (870) 394-7000
Other providers in West Memphis, AR
- Quirino Franklin
- Sherry Franklin
- Michelle N Freire-Troxel
- Yolanda Monique Fulton
- Martha E Futrell
- Lateasha Gaither-Davis
- Vlad Gamalie
- Jimeyuki Gamble
- Katherine Garner
- Sandra Gathright
All providers in West Memphis, AR · Physical Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.