Organization Active NPI

Marshall Physical Therapy, Inc

  • Physical Medicine & Rehabilitation Physician
  • Jefferson, TX
National Provider Identifier
1841523917
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MARSHALL PHYSICAL THERAPY, INC
Practice address
219 N Polk St
Jefferson, TX 75657-2131
Phone
(903) 665-2600
Fax
(903) 665-2600
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Mrs. John D Ford
Title
Ceo
Phone
(903) 247-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

219 N Polk St
Jefferson, TX 75657-2131

Mailing address

4002 Technology Ctr
Longview, TX 75605-2697
Phone (903) 247-0484

Other practice location 1

908 Bomar St
Marshall, TX 75670-6108
Phone (903) 935-3381

Other practice location 2

3202 4th St Ste 101
Longview, TX 75605-5143
Phone (903) 753-6635

Other practice location 3

123 N Main St
Lone Star, TX 75668
Phone (903) 656-2419

Other practice location 4

402 N Kaufman St
Linden, TX 75563-5234
Phone (903) 756-5581

National Provider Directory

National Provider Directory

Locations

3202 4th St
Longview, TX 75605

908 Bomar St
Marshall, TX 75670
Phone (903) 935-3381

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1841523917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 TECHNOLOGY CTR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052697",
            "telephone_number": "903-247-0484",
            "fax_number": "903-247-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N POLK ST",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "756572131",
            "telephone_number": "903-665-2600",
            "fax_number": "903-665-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Bomar St",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "TX",
            "postal_code": "756706108",
            "country_code": "US",
            "telephone_number": "903-935-3381",
            "fax_number": "903-935-0985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3202 4th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756055143",
            "country_code": "US",
            "telephone_number": "903-753-6635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 N Main St",
            "address_purpose": "LOCATION",
            "city": "Lone Star",
            "state": "TX",
            "postal_code": "75668",
            "country_code": "US",
            "telephone_number": "903-656-2419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 N Kaufman St",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "TX",
            "postal_code": "755635234",
            "country_code": "US",
            "telephone_number": "903-756-5581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARSHALL PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-247-0484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.