Marcus Stephen Sowder

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-2839 Issued in ID

Practice address

210 W Lacrosse Ave
Coeur D Alene, ID 83814-2403

Phone

(208) 664-2185

NPI assigned

Apr 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1467743609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13310 E MISSION AVE APT 88",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162755",
            "telephone_number": "208-881-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W LACROSSE AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142403",
            "telephone_number": "208-664-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWDER",
        "first_name": "MARCUS",
        "middle_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-2839",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60177482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Sousley, DC
• Ryan Sousley, DC
• South Hill Suboxone
• Tanner Souza, DO
• Cierra Heaven Sovenski, LMSW
• Spencer C Wirig, DMD, Inc
• Erika Spencer, RN
• Scott G Spencer, CRNA
• Thomas Floyd Spencer, PHARM D
• Alicia Jeannine Spiess, ARNP

• Physical Therapy Assistant in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Physical Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.