Kimberly Ann Marshall, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13058B Issued in CA

Practice address

894 W Town and Country Rd
Building F
Orange, CA 92868-4712

Phone

(714) 547-1140

Fax

(714) 547-1144

NPI assigned

Jul 3, 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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progressive Physical Therapy PlusGroup PAC ID 9234442815, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Progressive Physical Therapy Plus

  dba Progressive Physical Therapy and Rehabilitation Inc.

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1083091631
  Medicare reassignment Care Compare group Authorized official
• Progressive Physical Therapy and Rehabilitation Inc

  • Physical Therapist
  • Costa Mesa, CA
  • NPI 1912936840
  Medicare reassignment NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1659301158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 W TOWN AND COUNTRY RD",
            "address_2": "BUILDING F",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684712",
            "telephone_number": "714-547-1140",
            "fax_number": "714-547-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 W TOWN AND COUNTRY RD",
            "address_2": "BUILDING F",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684712",
            "telephone_number": "714-547-1140",
            "fax_number": "714-547-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13058B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damara Vivian Marshall, AUD
• Deneishah Lanae Marshall
• Freya Elena Marshall, M.D.
• Jason Marshall
• John Raymond Marshall, M.D.
• Lila Alisande Marshall
• Linta Marshall, FNP-C
• Melinda Lauren Marshall, M.D.
• Rachelle Marshall, LMFT
• Lindsay Lee Marsicek, NP

• Physical Therapist in Orange, CA
• Providers in Orange, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.