Individual provider Active NPI

Allyson Lynn Marshall, MS PT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1649500679
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1104164 Issued in TX
Practice address
9433 Bee Cave Rd
BLDG. 3 Ste. 101
Austin, TX 78733-6135
Phone
(512) 306-8007
Fax
(512) 672-6178
NPI assigned
Jan 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1104164 TX
Physical Therapist 225100000X 1104164 TX Primary

Addresses

Primary practice location

9433 Bee Cave Rd
BLDG. 3 Ste. 101
Austin, TX 78733-6135

Mailing address

9433 Bee Cave Rd
BLDG. 3 Ste. 101
Austin, TX 78733-6135
Phone (512) 306-8007

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1104164TXMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1649500679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 BEE CAVE RD",
            "address_2": "BLDG. 3 STE. 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787336135",
            "telephone_number": "512-306-8007",
            "fax_number": "512-672-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 BEE CAVE RD",
            "address_2": "BLDG. 3 STE. 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787336135",
            "telephone_number": "512-306-8007",
            "fax_number": "512-672-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ALLYSON",
        "middle_name": "LYNN",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1104164",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1104164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.