Organization Active NPI

Marchetti Physical Medicine P.a.

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1265972772
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARCHETTI PHYSICAL MEDICINE P.A.
Practice address
4944 Preston Rd Ste 100a
Frisco, TX 75034-8987
Phone
(469) 304-3443
Fax
(469) 304-3443
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Jason Marchetti, M.D.NPI 1780629469
Title
Owner
Phone
(469) 304-3443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X L7470 TX

Addresses

Primary practice location

4944 Preston Rd Ste 100a
Frisco, TX 75034-8987

Mailing address

4944 Preston Rd
Suite 100a
Frisco, TX 75034-8597
Phone (469) 304-3443

Other practice location 1

897 N MacArthur Blvd
Suite 110
Coppell, TX 75019-2705
Phone (469) 304-3443

Other names 1

  • Modoma Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1265972772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 PRESTON RD",
            "address_2": "SUITE 100A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348597",
            "telephone_number": "469-304-3443",
            "fax_number": "469-304-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 PRESTON RD STE 100A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348987",
            "telephone_number": "469-304-3443",
            "fax_number": "469-304-3443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "897 N MacArthur Blvd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750192705",
            "country_code": "US",
            "telephone_number": "469-304-3443",
            "fax_number": "469-304-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARCHETTI PHYSICAL MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "MARCHETTI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-304-3443",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L7470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.