NPIMap

Organization Active NPI

Marsh Pediatric Therapy, LLC

  • Physical Therapist
  • Tuscaloosa, AL
National Provider Identifier
1386643716
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT Issued in AL
Legal business name
MARSH PEDIATRIC THERAPY, LLC
Practice address
1792 McFarland Blvd N
Suite B
Tuscaloosa, AL 35406-2185
Phone
(205) 342-2546
Fax
(205) 342-2540
NPI assigned
Jul 18, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kim O Marsh, PT
Title
Owner/PT
Phone
(205) 342-2546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT AL Primary

Addresses

Primary practice location

1792 McFarland Blvd N
Suite B
Tuscaloosa, AL 35406-2185

Mailing address

1792 McFarland Blvd N
Suite B
Tuscaloosa, AL 35406-2185
Phone (205) 342-2546

Other identifiers 1

IdentifierTypeStateIssuer
510-77696OtherALKIM MARSH'S BC#

National Provider Directory

National Provider Directory

Locations

1792 McFarland Blvd N
Ste B
Tuscaloosa, AL 35406
Phone (205) 342-2546

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386643716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 MCFARLAND BLVD N",
            "address_2": "SUITE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062185",
            "telephone_number": "205-342-2546",
            "fax_number": "205-342-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 MCFARLAND BLVD N",
            "address_2": "SUITE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062185",
            "telephone_number": "205-342-2546",
            "fax_number": "205-342-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSH PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "205-342-2546",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIM MARSH'S BC#",
            "identifier": "510-77696",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.