Sally Ann Marks, MSED, ATL, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126000210 Issued in VA

Practice address

9414 Atlee Station Road
Mechanicsville, VA 23116-2600

Phone

(804) 723-2100

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492214400000",
    "number": "1629196365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 LAKE CAROLINE DRIVE",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225465304",
            "telephone_number": "804-761-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 ATLEE STATION ROAD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162600",
            "telephone_number": "804-723-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MSED, ATL, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO PRACTICE",
            "identifier": "0126000210",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Marenco, LMFT
• Marks Family Dentistry
• Brandon Scott Marks, D.D.S
• Melissa Marks, LPC
• Norman Jay Marks, D.D.S.
• Samuel Aaron Marks, D.D.S.
• Lisa Marie Marston
• Adam Martin, BS PHARMACY
• Clair Elizabeth Martin, OTD
• Jaiona Martin

• Athletic Trainer in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2017; 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.