Active NPI
Amy M Marshall, P.T.
- Physical Therapist
- Venice, FL
National Provider Identifier
1407975931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25319
- Practice address
- 4120 Woodmere Park Blvd
Suite 5
Venice, FL 34293-5373 - Phone
- (941) 408-0670
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1056000 | TX | |
| Physical Therapist | 225100000X | 25319 | FL | Primary |
Addresses
Primary practice location
4120 Woodmere Park Blvd
Suite 5
Venice, FL 34293-5373
Mailing address
4120 Woodmere Park Blvd
Suite 5
Venice, FL 34293-5373
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25319 | FL | MD | Physical Therapist |
| 1056000 | TX | MD | Family Nurse Practitioner |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1407975931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 WOODMERE PARK BLVD",
"address_2": "SUITE 5",
"city": "VENICE",
"state": "FL",
"postal_code": "342935373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 WOODMERE PARK BLVD",
"address_2": "SUITE 5",
"city": "VENICE",
"state": "FL",
"postal_code": "342935373",
"telephone_number": "941-408-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "AMY",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1056000",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "25319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.