Individual provider Active NPI

Eric R Marshall, PT, DPT

  • Physical Therapist
  • Tilton, NH
National Provider Identifier
1962782839
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3638 Issued in NH
Practice address
614 Laconia Rd
Unit 2
Tilton, NH 03276-5322
Phone
(603) 717-7010
NPI assigned
Aug 24, 2011
Last updated
Aug 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3638 NH Primary

Addresses

Primary practice location

614 Laconia Rd
Unit 2
Tilton, NH 03276-5322

Mailing address

614 Laconia Rd
Unit 2
Tilton, NH 03276-5322
Phone (603) 717-7010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000255 NH Practitioner - Physical Therapist in Private Practice 0446411623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belknap Occupational Health LLCGroup PAC ID 0648418558, 2 clinicians

Practice addresses (Care Compare)

614 Laconia Rd
Tilton, NH 03276-5322
Phone (603) 717-7010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Belknap Occupational Health LLC Physical Therapist CurrentSince Nov 7, 2016 Accepting new patients
Coppola Physical Therapy and Fitness Gym LLC Physical Therapist PastSince Jun 1, 2009 Accepting new patients
Ace Physical Therapy LLC Physical Therapist PastSince Apr 7, 2008 Accepting new patients
Optima Dermatology LLC Past Accepting new patients
Coppola Physical Therapy Ferry Physical Therapist Past Accepting new patients

Locations

614 Laconia Rd
Tilton, NH 03276
Phone (603) 717-7010

614 Laconia Rd
Unit 2
Tilton, NH 03276
Phone (603) 717-7010

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1962782839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 LACONIA RD",
            "address_2": "UNIT 2",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765322",
            "telephone_number": "603-717-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 LACONIA RD",
            "address_2": "UNIT 2",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765322",
            "telephone_number": "603-717-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ERIC",
        "middle_name": "R",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tilton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.