Marcus Scott Janky, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

08946 Issued in OR

Practice address

213 NW 2ND Ave
Myrtle Creek, OR 97457-9139

Phone

(541) 863-6571

Fax

(541) 863-7803

NPI assigned

Sep 16, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1740616291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2120",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "974570157",
            "telephone_number": "541-863-6571",
            "fax_number": "541-863-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 NW 2ND AVE",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "974579139",
            "telephone_number": "541-863-6571",
            "fax_number": "541-863-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKY",
        "first_name": "MARCUS",
        "middle_name": "SCOTT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "08946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn E Goodwin, OD
• Vilca Fauiki Havili, PA-C
• Mark Michael Herscher, D.O.
• Cameron Hill, PHARMD
• Ana Lou Pia Holk
• Jacqueline Marie Johnson, D.O.
• Kayla Anne Kaiser, PSY.D.
• Mark Francis Kleinschmidt, LMT
• Joseph Laduke
• James A. Lawson Jr., DMD

• Physical Therapy Assistant in Myrtle Creek, OR
• Providers in Myrtle Creek, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.