Marshall Douglas Bingham, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

13957 Issued in AZ

Practice address

1534 E Ray Rd Ste 104
Gilbert, AZ 85296-4429

Phone

(480) 855-5542

Fax

(480) 855-5756

NPI assigned

Sep 11, 2019

Last updated

Sep 11, 2019By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1871142893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 E RAY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964429",
            "telephone_number": "480-855-5542",
            "fax_number": "480-855-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 E RAY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964429",
            "telephone_number": "480-855-5542",
            "fax_number": "480-855-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "MARSHALL",
        "middle_name": "DOUGLAS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "13957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA STATE LLICENCE",
            "identifier": "13957",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "Theraoffice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "1534 E Ray Rd Ste 104",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852964429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Quin-Tazia Billups
• Allan J Billyard, PT, DPT
• Stacey L Billyard, PT, DPT
• Heather M Bily, P.T.
• Yasamin Bina
• Angela Binns, LMSW
• Anna Binting, LPC
• Anitha Binu, NP
• Austen Binu
• Bio-Medical Applications of Arizona, LLC (Fresenius Medical Care Gilbert)

• Physical Therapy Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.