Active NPI
Thomas J Marston, MSPT
- Physical Therapist
- Bristol, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03603
- Practice address
- 652 Wood St
Bristol, RI 02809-2425 - Phone
- (401) 785-1016
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- 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 | 014677 | NY | |
| Physical Therapist | 225100000X | 03603 | RI | Primary |
Addresses
Primary practice location
652 Wood St
Bristol, RI 02809-2425
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (502) 576-3282
Other practice location 1
747 Madison Ave
Suite 1
Albany, NY 12208-3392
Phone (518) 443-2279
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364247 | Other | NY | MVP |
| 040617000038 | Other | NY | FIDELIS |
| 10025376 | Other | NY | CDPHP |
| 000406994010 | Other | NY | BSNENY |
| 3439517 | Other | NY | AETNA |
| 01966921 | Medicaid | NY | |
| 813120 | Other | NY | MPN |
| Q03G11 | Other | NY | EMPIRE BC |
| 227921 | Other | NY | WELLCARE |
| 6697905 | Other | NY | GHI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014677 | NY | MD | Physical Therapy Assistant |
| 0146771 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pappas Physical Therapy LLC | Current | Accepting new patients | |
| Pappas Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Associates of Schenectady, PC | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
652 Wood St
Bristol, RI 02809
Phone (401) 253-3710
1100 Reservoir Ave
Cranston, RI 02910
Phone (401) 785-1016
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- North Kingstown, RI
- NPI 1174246672
-
- Physical Therapy Clinic/Center
- Johnston, RI
- NPI 1851862692
Physical Therapist
-
- Physical Therapist
- Troy, NY
- NPI 1245313097
-
- Physical Therapist
- Ballston Spa, NY
- NPI 1225346448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1891797478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "502-576-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 WOOD ST",
"city": "BRISTOL",
"state": "RI",
"postal_code": "028092425",
"telephone_number": "401-785-1016"
}
],
"practiceLocations": [
{
"address_1": "747 Madison Ave",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122083392",
"country_code": "US",
"telephone_number": "518-443-2279",
"fax_number": "518-443-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSTON",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "014677",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "03603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "364247",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040617000038",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10025376",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000406994010",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3439517",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01966921",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPN",
"identifier": "813120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "Q03G11",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "227921",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6697905",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, RI
- Chelsea E Lunquest, LMHC
- Nancy Luongo-Fielding, RN
- Angela Marie Macksoud, OD
- Danielle Makucevich, DPT
- Jocelyn Malave, LMHC
- Martin L. Roussel, D.C. Dba East Bay Chiropractic Health Center
- Maxi Drug South LP
- Medical Associates of Rhode Island Inc.
- Medical Associates of Rhode Island, Inc.
- Medical Associates of Ri Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.