Staci Marshall, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038341 Issued in NY

Practice address

8395 Oswego Rd
Baldwinsville, NY 13027-6801

Phone

(315) 877-1149

NPI assigned

Nov 19, 2014

Last updated

Jan 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1568869519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8395 OSWEGO RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130276801",
            "telephone_number": "315-877-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 OSWEGO RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130276801",
            "telephone_number": "315-877-1149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 Court St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132081834",
            "country_code": "US",
            "telephone_number": "315-455-7591 x220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "STACI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Ann Mapley
• Stephen Michael Marcotte, RN
• Avery Rose Marcy
• Margaret Gilmore-Resnick, LCSW, PLLC
• Marie C Sardo (Pathways Assessment and Consultation)
• Linda A Mason, LSW
• Anthony Mastracco, RN
• Nancy Louise Mayosky, R.N.
• Charles Robert McAllister
• Joanne McCracken, MS, CCC-SLP

• Physical Therapist in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.