Individual provider Active NPI

Marka Jean Salsberry, P.T.

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1982006466
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.010832 Issued in OH
Practice address
1905 Parsons Ave
Columbus, OH 43207-1933
Phone
(614) 586-4159
Fax
(614) 586-4252
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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 PT.010832 OH Primary

Addresses

Primary practice location

1905 Parsons Ave
Columbus, OH 43207-1933

Mailing address

1800 Watermark Dr
Suite 420
Columbus, OH 43215-1048
Phone (614) 645-5500

Other identifiers 1

IdentifierTypeStateIssuer
0111431MedicaidOH

Other names 1

  • Mark Jean Gehrig 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.010832OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1982006466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WATERMARK DR",
            "address_2": "SUITE 420",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151048",
            "telephone_number": "614-645-5500",
            "fax_number": "614-645-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071933",
            "telephone_number": "614-586-4159",
            "fax_number": "614-586-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALSBERRY",
        "first_name": "MARKA",
        "middle_name": "JEAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.010832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111431",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "GEHRIG",
            "middle_name": "JEAN",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.