NPIMap

Organization Active NPI

Marshall Physical Therapy P a

Doing business as Women's Wellness Works

  • Physical Therapist
  • Mount Airy, MD
National Provider Identifier
1932241064
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17821 Issued in MD
Legal business name
MARSHALL PHYSICAL THERAPY P A
Doing business as
Women's Wellness Works
Practice address
6091 Toursome Dr
Mount Airy, MD 21771-8015
Phone
(201) 252-5380
Fax
(301) 829-3211
NPI assigned
Feb 13, 2007
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Dr. Edward Lee Marshall Jr., D.P.T.NPI 1639106677
Title
Director
Phone
(301) 252-5380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17821 MD Primary

Addresses

Primary practice location

6091 Toursome Dr
Mount Airy, MD 21771-8015

Mailing address

6091 Toursome Dr
Mount Airy, MD 21771-8015
Phone (201) 252-5380

Other identifiers 1

IdentifierTypeStateIssuer
401298400MedicaidMD

Other names 1

  • Women's Wellness Works Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000797 MD Part B Supplier - Clinic/Group Practice 1153332135 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Airy, MD

National Provider Directory

National Provider Directory

Locations

622 Hungerford Dr
Rockville, MD 20850
Phone (301) 252-5380

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1932241064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 TOURSOME DR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217718015",
            "telephone_number": "201-252-5380",
            "fax_number": "301-829-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 TOURSOME DR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217718015",
            "telephone_number": "201-252-5380",
            "fax_number": "301-829-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL PHYSICAL THERAPY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-252-5380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401298400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Wellness Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.