Forrest Olivia Marston, L.M.T.

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA43667 Issued in FL

Practice address

1114 Florida Ave
Suite C
Palm Harbor, FL 34683-4331

Phone

(727) 772-1966

NPI assigned

Apr 16, 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

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649495540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 FOX FIRE CT",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 FLORIDA AVE",
            "address_2": "SUITE C",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346834331",
            "telephone_number": "727-772-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTON",
        "first_name": "FORREST",
        "middle_name": "OLIVIA",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA43667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Marquis
• Deanna Lynn Marr, OTR/L
• Victoria Marrero Ruiz
• Lisa Marsh, D.C.
• Michael Paul Marshall, P.T.
• Idelfia A Marte, M.D.
• Pamela S Marth
• Ly Tran Martin
• Mariah Martin
• Patrick Martin

• Mechanotherapist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Mechanotherapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.