Active NPI
John P Marshall, FITNESS TRAINER
- Physical Medicine & Rehabilitation Physician
- Colorado Springs, CO
National Provider Identifier
1619727740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 072901917
- Practice address
- 5606 N Union Blvd
Colorado Springs, CO 80918-1940 - Phone
- (719) 339-0690
- NPI assigned
- Mar 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 072901917 | CO | Primary |
Addresses
Primary practice location
5606 N Union Blvd
Colorado Springs, CO 80918-1940
Mailing address
5606 N Union Blvd
Colorado Springs, CO 80918-1940
Phone (719) 339-0690
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 |
|---|---|---|---|
| 072901917 | CO | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1619727740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5606 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181940",
"telephone_number": "719-339-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5606 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181940",
"telephone_number": "719-339-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "FITNESS TRAINER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-22",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "072901917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.