Individual provider Active NPI

Magdalen Antoinette Marron, PTA

  • Physical Therapy Assistant
  • Las Vegas, NV
National Provider Identifier
1609036672
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A0447 Issued in NV
Practice address
7140 Smoke Ranch Rd Ste 150
Las Vegas, NV 89128-3157
Phone
(702) 839-4839
NPI assigned
Jun 13, 2008
Last updated
Nov 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A0447 NV Primary

Addresses

Primary practice location

7140 Smoke Ranch Rd Ste 150
Las Vegas, NV 89128-3157

Mailing address

7140 Smoke Ranch Rd Ste 150
Las Vegas, NV 89128-3157
Phone (702) 839-4839

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

LicenseStateTypeSpecialty
A0447NVMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1609036672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 SMOKE RANCH RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157",
            "telephone_number": "702-839-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 SMOKE RANCH RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157",
            "telephone_number": "702-839-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRON",
        "first_name": "MAGDALEN",
        "middle_name": "ANTOINETTE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A0447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.