Kelly Marshall, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA21142 Issued in FL

Practice address

5481 SW 60TH St
Ocala, FL 34474-7698

Phone

(352) 873-1122

Fax

(352) 873-6841

NPI assigned

Feb 22, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• TLC Rehab, LLC

  • Physical Therapist
  • Ocala, FL
  • NPI 1659340222
  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1720257850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 SW 60TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747698",
            "telephone_number": "352-873-1122",
            "fax_number": "352-873-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 SW 60TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747698",
            "telephone_number": "352-873-1122",
            "fax_number": "352-873-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KELLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA21142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE NUMBER",
            "identifier": "PTA21142",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Odalis De Las Mercedes Marrero
• Stephanie Marrero
• Danielle Marsden
• Alicia Ramona Marshall
• Catherine Marshall, MS/CCC-SLP
• Sidney Marshall
• Alyson Martin
• Christianna Martin, NP
• David Richard Martin, B.SC., D.C.
• George Cary Martin, MD

• Physical Therapy Assistant in Ocala, FL
• Providers in Ocala, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.