Randall Douglas Marshall, OT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

107868 Issued in TX

Practice address

50 Hillcrest Medical Blvd Ste 203
Waco, TX 76712-8954

Phone

(254) 202-9800

Fax

(254) 202-9849

NPI assigned

Jan 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hillcrest Baptist Medical Center

  • Rehabilitation Hospital Unit
  • Waco, TX
  • NPI 1568899391
  NPD (past)

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1912329319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21146",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767021146",
            "telephone_number": "254-202-9800",
            "fax_number": "254-202-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HILLCREST MEDICAL BLVD STE 203",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128954",
            "telephone_number": "254-202-9800",
            "fax_number": "254-202-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "RANDALL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "107868",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "ID",
            "license": "OT-1283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marked for Grace Counseling Center
• Sandra Marquez
• John David Marr, DO
• Cessley Marsellus, M.D.
• Ashley Rene Marshall
• April Victoria Marteney
• Martin Audiology LLC
• Sarah Martin-Werntz, LCSW
• Brittany Gaertner Martin, NP-C
• Cassandra E Martin, CSFA/CST

• Hand Occupational Therapist in Waco, TX
• Providers in Waco, TX by specialty
• Hand Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.