Individual provider Active NPI

Marcy Sue Garrott, PT

  • Physical Therapist
  • Massillon, OH
National Provider Identifier
1891718094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 010646 Issued in OH
Practice address
6728 Wales Ave NW
Massillon, OH 44646-9006
Phone
(330) 837-0888
Fax
(330) 830-5827
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 010646 OH Primary

Addresses

Primary practice location

6728 Wales Ave NW
Massillon, OH 44646-9006

Mailing address

4645 Belpar St NW
Canton, OH 44718-3602
Phone (330) 493-4210

Other identifiers 1

IdentifierTypeStateIssuer
000000313748OtherOHANTHEM BC/BS

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT 010646OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891718094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183602",
            "telephone_number": "330-493-4210",
            "fax_number": "330-493-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6728 WALES AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469006",
            "telephone_number": "330-837-0888",
            "fax_number": "330-830-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARROTT",
        "first_name": "MARCY",
        "middle_name": "SUE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 010646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000313748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.