Kina L Marshall, RECREATION THERAPIST

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

1615 Issued in NC

Practice address

1100 Blythe Blvd
Charlotte, NC 28203-5814

Phone

(704) 355-8484

Fax

(704) 355-4231

NPI assigned

Mar 29, 2007

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

Other names 1

• Kina L Atkin Former name

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1720108475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BLYTHE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035814",
            "telephone_number": "704-355-8484",
            "fax_number": "704-355-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BLYTHE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035814",
            "telephone_number": "704-355-8484",
            "fax_number": "704-355-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KINA",
        "middle_name": "L",
        "credential": "RECREATION THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NC",
            "license": "1615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KINA",
            "last_name": "ATKIN",
            "middle_name": "L",
            "credential": "RECREATIONAL THERAPI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Javan Marshall
• Jeffrey Tonkins Marshall, MA
• Katherine Margaret Marshall, MSW, LCSW-A
• Kathryn Marshall, MS, SSP
• Kelli Esther Marshall
• Makenzie Marshall, DNP, FNP-C
• Mary Jane Marshall, DDS
• Maya Marshall
• Meredith Ann Marshall, FNP-C
• Olga Marshall, PHARMD

• Recreation Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Recreation Therapist in North Carolina

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