Individual provider Active NPI

Amy L Marsar

  • Physical Therapist
  • Katy, TX
National Provider Identifier
1407970650
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1209067 Issued in TX
Practice address
6361 S Stadium LN
Katy, TX 77494-1057
Phone
(281) 237-2753
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 1209067 TX Primary

Addresses

Primary practice location

6361 S Stadium LN
Katy, TX 77494-1057

Mailing address

6361 S Stadium LN
Katy, TX 77494-1057
Phone (281) 237-6647

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
15983MAMDAddiction (Substance Use Disorder) Counselor
1209067TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Independent School District Physical Therapist CurrentSince Jun 23, 2024 Accepting new patients

Locations

6361 S Stadium Ln
Katy, TX 77494
Phone (281) 237-6647

1736 Katyland Dr
Katy, TX 77493
Phone (281) 237-2753

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1407970650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6361 S STADIUM LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941057",
            "telephone_number": "281-237-6647",
            "fax_number": "281-644-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6361 S STADIUM LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941057",
            "telephone_number": "281-237-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSAR",
        "first_name": "AMY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1209067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.