Organization Active NPI

Marshall Medical

Doing business as Marshall Medical Physical Rehabilitation Services

  • Physical Therapy Clinic/Center
  • Placerville, CA
National Provider Identifier
1992847081
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MARSHALL MEDICAL
Doing business as
Marshall Medical Physical Rehabilitation Services
Practice address
1081 Marshall Way
Suite C
Placerville, CA 95667-5706
Phone
(530) 344-5430
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laurie Eldridge
Title
Cfo
Phone
(530) 626-2780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CA Primary

Addresses

Primary practice location

1081 Marshall Way
Suite C
Placerville, CA 95667-5706

Mailing address

1100 Marshall Way
Placerville, CA 95667-6533
Phone (530) 344-5430

Other names 1

  • Marshall Medical Physical Rehabilitation Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marshall Center Primary18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

1081 Marshall Way
Ste C
Placerville, CA 95667
Phone (530) 344-5430

Practitioners & affiliated clinicians

Practitioners 1

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": "1598054400000",
    "number": "1992847081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MARSHALL WAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676533",
            "telephone_number": "530-344-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 MARSHALL WAY",
            "address_2": "SUITE C",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675706",
            "telephone_number": "530-344-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-626-2780"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Medical Physical Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.