Organization Active NPI

Jason Marchetti MD PA

  • Physical Medicine & Rehabilitation Physician
  • Coppell, TX
National Provider Identifier
1912355447
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L7470 Issued in TX
Legal business name
JASON MARCHETTI MD PA
Practice address
546 E Sandy Lake Rd
Suite 250
Coppell, TX 75019-5786
Phone
(469) 307-5109
Fax
(888) 417-4939
NPI assigned
May 25, 2016
Organization subpart
Yes
Parent organization
JASON MARCHETTI MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Jason Marchetti, M.D.
Title
Director
Phone
(469) 307-5109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X L7470 TX Primary

Addresses

Primary practice location

546 E Sandy Lake Rd
Suite 250
Coppell, TX 75019-5786

Mailing address

600 W Campbell Rd
Suite 7
Richardson, TX 75080-3357
Phone (469) 307-5109

National Provider Directory

National Provider Directory
Part of
Jason Marchetti MD PA

Locations

920 S Belt Line Rd
Ste 200
Coppell, TX 75019
Phone (469) 307-5109

3319 Unicorn Lake Blvd
Ste 100
Denton, TX 76210
Phone (469) 307-5109

2817 S Mayhill Rd
Ste 100
Denton, TX 76208
Phone (940) 320-6901

600 W Campbell Rd
Ste 7
Richardson, TX 75080

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1912355447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CAMPBELL RD",
            "address_2": "SUITE 7",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803357",
            "telephone_number": "469-307-5109",
            "fax_number": "888-417-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 E SANDY LAKE RD",
            "address_2": "SUITE 250",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195786",
            "telephone_number": "469-307-5109",
            "fax_number": "888-417-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON MARCHETTI MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JASON MARCHETTI MD PA",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "MARCHETTI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-307-5109",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L7470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.