Active NPI
Jennifer Santos Marston, PT
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1841283777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008508
- Practice address
- 700 NE 87TH Ave
Ste. 350
Vancouver, WA 98664-1913 - Phone
- (360) 882-2778
- Fax
- (360) 604-1757
- NPI assigned
- Aug 25, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00008508 | WA | Primary |
| Physical Therapist | 225100000X | 1231463 | TX |
Addresses
Primary practice location
700 NE 87TH Ave
Ste. 350
Vancouver, WA 98664-1913
Mailing address
700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 882-2778
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8949742 | Other | WA | L & I CRIME VICTIMS |
| 8496358 | Medicaid | WA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportherapy LLC | Physical Therapist | Current | Accepting new patients |
| Northwest Rehabilitation Institute | Past | Accepting new patients |
Locations
8857 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 413-8700
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba N.W. Rehabilitation Institute & Physical Therapy
- Physical Therapy Clinic/Center
- Vancouver, WA
- NPI 1316161029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1841283777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641913",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"address_2": "STE. 350",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641913",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSTON",
"first_name": "JENNIFER",
"middle_name": "SANTOS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008508",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1231463",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I CRIME VICTIMS",
"identifier": "8949742",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8496358",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.