Jessica R Marshall, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20995 Issued in MA

Practice address

399 S Malpais LN Ste 103
Flagstaff, AZ 86001-6299

Phone

(928) 235-5506

Fax

(928) 220-8888

NPI assigned

Feb 14, 2014

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

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thin Air Physical Therapy PLLCGroup PAC ID 5597165035, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thin Air Physical Therapy, PLLC.

  • Physical Therapist
  • Flagstaff, AZ
  • NPI 1558941724
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1841614690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 S MALPAIS LN STE 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016299",
            "telephone_number": "928-235-5506",
            "fax_number": "928-220-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 S MALPAIS LN STE 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016299",
            "telephone_number": "928-235-5506",
            "fax_number": "928-220-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JESSICA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Marquez
• Cydney Caitlin Marrs, PHARM D
• Amanda Kristen Marshall, DMD
• Caitlin Marie Marshall, DO, MPH
• Camryn Reanne Marshall
• Martha L. Scranton, Ms.LCSW
• Cody Loomis Martin, M.D.
• John Blanchard Martin, PH.D
• Joseph Martin, PHARMACIST
• Mary Michelle Martin, LPC

• Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.