Active NPI
Albert Marban, PT
- Physical Therapist
- Desoto, TX
National Provider Identifier
1659843415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1313377
- Practice address
- 931 York Dr Ste a
Desoto, TX 75115-2043 - Phone
- (972) 296-6645
- Fax
- (972) 296-4526
- NPI assigned
- Dec 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1313377 | TX | Primary |
Addresses
Primary practice location
931 York Dr Ste a
Desoto, TX 75115-2043
Mailing address
931 York Dr Ste a
Desoto, TX 75115-2043
Phone (972) 296-6645
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Dallas, TX
- NPI 1558306399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1659843415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 YORK DR STE A",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152043",
"telephone_number": "972-296-6645",
"fax_number": "972-296-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 YORK DR STE A",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152043",
"telephone_number": "972-296-6645",
"fax_number": "972-296-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARBAN",
"first_name": "ALBERT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1313377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.