Active NPI
Richard Dean Marshall, PT
- Physical Therapist
- Mount Shasta, CA
National Provider Identifier
1730129040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16456
- Practice address
- 1208 Everitt Memorial Hwy
Mount Shasta, CA 96067-9758 - Phone
- (530) 926-1290
- Fax
- (530) 926-1248
- NPI assigned
- Jun 7, 2006
- 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 | 16456 | CA | Primary |
Addresses
Primary practice location
1208 Everitt Memorial Hwy
Mount Shasta, CA 96067-9758
Mailing address
1441 Deetz Rd
Mount Shasta, CA 96067-9150
Phone (530) 926-4534
Other names 1
- Rick Marshall
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16456 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730129040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 DEETZ RD",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960679150",
"telephone_number": "530-926-4534",
"fax_number": "530-926-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 EVERITT MEMORIAL HWY",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960679758",
"telephone_number": "530-926-1290",
"fax_number": "530-926-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "RICHARD",
"middle_name": "DEAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "16456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RICK",
"last_name": "MARSHALL",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mount Shasta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.