Annette Marshall Physical Therapy Care

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013019-1 Issued in NY

Legal business name

ANNETTE MARSHALL PHYSICAL THERAPY CARE

Practice address

530 Montauk Hwy
Suite 201C
Amagansett, NY 11930-2110

Phone

(631) 267-3755

Fax

(631) 267-3755

NPI assigned

Mar 8, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Annette Marshall

Title

Owner

Phone

(631) 267-3755

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1700150711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2065",
            "city": "AMAGANSETT",
            "state": "NY",
            "postal_code": "119302065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 MONTAUK HWY",
            "address_2": "SUITE 201C",
            "city": "AMAGANSETT",
            "state": "NY",
            "postal_code": "119302110",
            "telephone_number": "631-267-3755",
            "fax_number": "631-267-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE MARSHALL PHYSICAL THERAPY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-267-3755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013019-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Breitenbach, LCSW
• Shawn Patrick Cannon, DO
• Randi Beth Cherill, PT, ATC
• Eugene Mark Connolly, RPA-C
• Erik Peterson Physical Therapy PC

• Physical Therapist in Amagansett, NY
• Providers in Amagansett, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.