Individual provider Active NPI

Gwendolyn Ione Warby Marsh, M.S.P.T.

  • Physical Therapist
  • Mt Pleasant, MI
National Provider Identifier
1356448518
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009392 Issued in MI
Practice address
608 E Chippewa St
Mt Pleasant, MI 48858-1742
Phone
(989) 317-4455
Fax
(989) 317-4457
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501009392 MI Primary

Addresses

Primary practice location

608 E Chippewa St
Mt Pleasant, MI 48858-1742

Mailing address

608 E Chippewa St
Mt Pleasant, MI 48858-1742
Phone (989) 317-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501009392MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1356448518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E CHIPPEWA ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581742",
            "telephone_number": "989-317-4455",
            "fax_number": "989-317-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E CHIPPEWA ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581742",
            "telephone_number": "989-317-4455",
            "fax_number": "989-317-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARBY MARSH",
        "first_name": "GWENDOLYN",
        "middle_name": "IONE",
        "name_prefix": "Mrs.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.