Jessica L Marsh, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTP-PTA-LIC-1940 Issued in MT

Practice address

308 E 3Rd St
Libby, MT 59923-2140

Phone

(406) 293-6285

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jesica L Hartman Former name

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1437756053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 KLATAWAH ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599233235",
            "telephone_number": "406-293-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E 3RD ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232140",
            "telephone_number": "406-293-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "PTP-PTA-LIC-1940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESICA",
            "last_name": "HARTMAN",
            "middle_name": "L",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristi Lynn Lovejoy, LMT
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• Michael L Mahoney, MD
• Jay Maloney, MD
• Mavis Vaillancourt LCSW Lac LLC
• Dorothy McBride
• Stevi Meade, PA-C
• Elise Mills, PA-C
• Mountain Rose Counseling

• Physical Therapy Assistant in Libby, MT
• Providers in Libby, MT by specialty
• Physical Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.