Zachary Marcus, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATL3689 Issued in MA

Practice address

40 Jeffries St
East Boston, MA 02128-2263

Phone

(978) 806-5121

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1396508081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 JEFFRIES ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021282263",
            "telephone_number": "978-806-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 JEFFRIES ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021282263",
            "telephone_number": "978-806-5121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Allied Dr",
            "address_purpose": "LOCATION",
            "city": "Dedham",
            "state": "MA",
            "postal_code": "020266146",
            "country_code": "US",
            "telephone_number": "781-890-2133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Winter St",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024511433",
            "country_code": "US",
            "telephone_number": "781-890-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "ZACHARY",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "ATL3689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Liliana Mantilla, LMHC
• Kelly Connolly Marcella, LICSW
• Yardley Marcelluy
• Maria Elizabeth Marques, CNP
• Monicah W Marsh, CNP
• Ines Martinez Rua
• Carolina Martinez-Castaldi, M.D.
• Adriana Martinez, PA-C

• Athletic Trainer in East Boston, MA
• Providers in East Boston, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.