Marcelle Petry, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9680 Issued in TX

Practice address

2400 Highway 287 N
Suite 104
Mansfield, TX 76063-4828

Phone

(817) 539-0044

Fax

(817) 539-0682

NPI assigned

Aug 11, 2006

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy Body Integrative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Mansfield, TX
  • NPI 1568117612

  Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1649281726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MESQUITE HILL DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024478",
            "telephone_number": "817-539-0044",
            "fax_number": "817-539-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 287 N",
            "address_2": "SUITE 104",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634828",
            "telephone_number": "817-539-0044",
            "fax_number": "817-539-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY",
        "first_name": "MARCELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Perez
• Nnenna Perkins, M.S. CCC-SLP
• Ayishat Abiona Perry
• Destiney Peters, MS CCC-SLP
• Ian Petri, DPT
• Anh Thu Pham, PHARMD
• Huan Pham, DO
• Kathlynn Pham, PHARM.D
• Kim Thi My Pham, O.D.
• Mai Pham, DPM

• Chiropractor in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.