Active NPI
Marsha Gill, OMT COM
- Specialist
- Peoria, AZ
National Provider Identifier
1538540414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 554
- Practice address
- 14050 N 83Rd Ave
Suite 290
Peoria, AZ 85381-5638 - Phone
- (602) 796-6070
- Fax
- (888) 796-9570
- NPI assigned
- Jun 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | 554 | AZ | |
| Oral Medicine Dentistry | 125Q00000X | 554 | AZ | |
| Physical Therapist | 225100000X | |||
| Specialist | 174400000X | 554 | AZ | Primary |
Addresses
Primary practice location
14050 N 83Rd Ave
Suite 290
Peoria, AZ 85381-5638
Mailing address
8447 W Desert Elm LN
Peoria, AZ 85383-3645
Phone (602) 796-6070
Other practice location 1
9772 W Yearling Rd Ste A1600
Peoria, AZ 85383-1380
Phone (602) 796-6070
Other names 1
- Ms. Marci Mary Gill
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 554 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1538540414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8447 W DESERT ELM LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853833645",
"telephone_number": "602-796-6070",
"fax_number": "888-796-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14050 N 83RD AVE",
"address_2": "SUITE 290",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853815638",
"telephone_number": "602-796-6070",
"fax_number": "888-796-9570"
}
],
"practiceLocations": [
{
"address_1": "9772 W Yearling Rd Ste A1600",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853831380",
"country_code": "US",
"telephone_number": "602-796-6070",
"fax_number": "602-796-6070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILL",
"first_name": "MARSHA",
"credential": "OMT COM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "AZ",
"license": "554",
"primary": false
},
{
"code": "125Q00000X",
"taxonomy_group": "",
"desc": "Dentist, Oral Medicine",
"state": "AZ",
"license": "554",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCI",
"last_name": "GILL",
"middle_name": "MARY",
"prefix": "MS.",
"credential": "OMT COM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.