Individual provider Active NPI

John Harvey Marshall, NCTMB-MT

  • Mechanotherapist
  • Fountain Hills, AZ
National Provider Identifier
1891906376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MT-03628 Issued in AZ
Practice address
17030 E Calle del Oro Apt C
Fountain Hills, AZ 85268-2459
Phone
(480) 816-8506
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
Yes

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
Mechanotherapist 172M00000X MT-03628 AZ Primary

Addresses

Primary practice location

17030 E Calle del Oro Apt C
Fountain Hills, AZ 85268-2459

Mailing address

17030 E Calle del Oro Apt C
Fountain Hills, AZ 85268-2459
Phone (480) 816-8506

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
MT-03628AZMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891906376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 E CALLE DEL ORO APT C",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682459",
            "telephone_number": "480-816-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 E CALLE DEL ORO APT C",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682459",
            "telephone_number": "480-816-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JOHN",
        "middle_name": "HARVEY",
        "name_prefix": "Mr.",
        "credential": "NCTMB-MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "AZ",
            "license": "MT-03628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

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.