Individual provider Active NPI

Betty Jane Marshall, P.T.

  • Contractor
  • Sugar Land, TX
National Provider Identifier
1922250307
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
34984 Issued in CA
Practice address
14019 Southwest Fwy Ste 301
PMB 244
Sugar Land, TX 77478-3551
Phone
(713) 249-7655
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 34984 CA Primary
Contractor 171W00000X PT21386 FL
Contractor 171W00000X 1006468 TX
Contractor 171W00000X 9599 CO
Contractor 171W00000X 9413 NC

Addresses

Primary practice location

14019 Southwest Fwy Ste 301
PMB 244
Sugar Land, TX 77478-3551

Mailing address

14019 Southwest Fwy Ste 301
PMB 244
Sugar Land, TX 77478-3551
Phone (713) 249-7655

Other names 1

  • Mrs. Betty Patrick Marshall Former name

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
34984CAMDGeneral Practice Dentistry
9599COMDContractor
PT21386FLMDContractor
1006468TXMDContractor
9413NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1922250307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14019 SOUTHWEST FWY STE 301",
            "address_2": "PMB 244",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783551",
            "telephone_number": "713-249-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14019 SOUTHWEST FWY STE 301",
            "address_2": "PMB 244",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783551",
            "telephone_number": "713-249-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "BETTY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "34984",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "PT21386",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "1006468",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CO",
            "license": "9599",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NC",
            "license": "9413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTY",
            "last_name": "MARSHALL",
            "middle_name": "PATRICK",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.