Individual provider Active NPI

Nicolas C Marsh, DPT

  • Physical Therapist
  • Pasco, WA
National Provider Identifier
1457626137
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60243012 Issued in WA
Practice address
6825 Burden Blvd
Suite D
Pasco, WA 99301-9584
Phone
(509) 545-1010
Fax
(509) 545-1112
NPI assigned
Mar 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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 PT60243012 WA Primary

Addresses

Primary practice location

6825 Burden Blvd
Suite D
Pasco, WA 99301-9584

Mailing address

6825 Burden Blvd
Suite D
Pasco, WA 99301-9584
Phone (509) 545-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927003429 WA Practitioner - Physical Therapist in Private Practice 7113303256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tier 1 Therapy LLCGroup PAC ID 3375874761, 5 clinicians

Practice addresses (Care Compare)

1500 Catherine St
Apt Ofc
Walla Walla, WA 99362-4181
Phone (509) 987-4316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Physical Therapy, PLLC Physical Therapist CurrentSince Jun 24, 2022 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince Jun 24, 2022 Accepting new patients
Tier 1 Therapy LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Therapy Options LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4411 Point Fosdick Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-7472

6825 Burden Blvd
Ste D
Pasco, WA 99301
Phone (509) 416-0444

245 Van Giesen St
Bldg C
Richland, WA 99354
Phone (503) 302-1459

1020 Queensgate Dr
Richland, WA 99352
Phone (509) 578-5100

1127 S 2nd Ave
Ste B
Walla Walla, WA 99362
Phone (509) 204-2400

Organizations & group practices 5

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": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1457626137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 BURDEN BLVD",
            "address_2": "SUITE D",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019584",
            "telephone_number": "509-545-1010",
            "fax_number": "509-545-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 BURDEN BLVD",
            "address_2": "SUITE D",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019584",
            "telephone_number": "509-545-1010",
            "fax_number": "509-545-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "NICOLAS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60243012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.