Allyson Jeanette Marvel, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1434 W Chicago Blvd
Tecumseh, MI 49286-8727

Phone

(517) 424-8100

Fax

(517) 424-8200

NPI assigned

Nov 6, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• 3 Dimensional Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Adrian, MI
  • NPI 1164676730
  NPD

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1285102434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 DIO DR",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198933",
            "telephone_number": "616-881-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 W CHICAGO BLVD",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492868727",
            "telephone_number": "517-424-8100",
            "fax_number": "517-424-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5161 Dio Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Springs",
            "state": "MI",
            "postal_code": "493198933",
            "country_code": "US",
            "telephone_number": "616-881-9028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARVEL",
        "first_name": "ALLYSON",
        "middle_name": "JEANETTE",
        "credential": "AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Lowrance, MS, LLP
• Bradley Marchese, MD
• Devan Robert Marry, DC
• Carol Ann Martinez
• Jacob Salomon Martinez, M.D.
• Clare Masson, O.D
• Masterpeace Center for Counseling & Development
• Masterpeace Center for Counseling & Development
• Dakota Jean Mattson
• Stephen May, LPC

• All providers in Tecumseh, MI
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.