Amy Pollard Marshall, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2572 Issued in LA

Practice address

69154 Hwy 190 Serv Rd
Covington, LA 70433-5140

Phone

(985) 893-2845

Fax

(985) 893-2654

NPI assigned

Jun 1, 2011

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

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.

• Star Physical Therapy

  • Physical Therapist
  • Covington, LA
  • NPI 1679691240
  NPD (past)
• Star Physical Therapy, Inc

  • Specialist
  • Covington, LA
  • NPI 1720034770
  NPD (past)

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1821382334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 WHITETAIL DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704481996",
            "telephone_number": "985-674-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69154 HWY 190 SERV RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335140",
            "telephone_number": "985-893-2845",
            "fax_number": "985-893-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "AMY",
        "middle_name": "POLLARD",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deairea Marchand, LOT
• Richard G Marek Jr., MD
• Jon William Mares, D.O.
• Julianna Marie Maricelli
• Mark Siverd OD LLC
• Maximino Martell, APRN, CCNS, RN, MSN
• Jeanine M Martin, DO
• Misty Danielle Martin, FNP
• Angie Martinez, CSFA
• Luis Benigno Martinez III

• Physical Therapy Assistant in Covington, LA
• Providers in Covington, LA by specialty
• Physical Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.