Matthew Lyndon Marshall (NPI# 1013409499, PAC ID# 6103172747) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1013409499 |
| PAC ID by PECOS | 6103172747 |
| Professional Enrollment ID | I20180711003374 |
| Full Name | Matthew Lyndon Marshall |
| Organization Legal Name | EL DORADO PHYSICAL THERAPY, INC |
| Address |
990 Riley St Folsom CA 95630-3064 |
| Phone Number | 9163351250 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8325181480 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 907 Embarcadero Dr, El Dorado Hills, CA 95762-4087 | 9169331221 | EL DORADO PHYSICAL THERAPY, INC |
| 990 Riley St, Folsom, CA 95630-3064 | 9163351250 | EL DORADO PHYSICAL THERAPY, INC |
| Organization Legal Name | EL DORADO PHYSICAL THERAPY, INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Elise Ray | Physical Therapy | El Dorado Physical Therapy, Inc | 4052 Mother Lode Dr, Shingle Springs, CA 95682-8491 |
| Joanne S Norton | Physical Therapy | El Dorado Physical Therapy, Inc | 907 Embarcadero Dr, El Dorado Hills, CA 95762-4087 |
| Josef Daniel Mielke | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Lauren Rebecca Nager | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Brian Austin Blair | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| David K Thomas | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Kimberly Marlene Keilson | Physical Therapy | El Dorado Physical Therapy, Inc | 907 Embarcadero Dr, El Dorado Hills, CA 95762-4087 |
| Brian M Cacy | Physical Therapy | El Dorado Physical Therapy, Inc | 4052 Mother Lode Dr, Shingle Springs, CA 95682-8491 |
| Allison Randall Keeney | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Geri Sue Liebert | Occupational Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Street Address |
990 RILEY ST |
| City | FOLSOM |
| State | CA |
| Zip | 95630-3064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josef Daniel Mielke | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Lauren Rebecca Nager | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Brian Austin Blair | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| David K Thomas | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Allison Randall Keeney | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Geri Sue Liebert | Occupational Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Don J La Salle | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Meghan Angela Fuccella | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Diane Adell Ornoski | Physical Therapy | El Dorado Physical Therapy, Inc | 990 Riley St, Folsom, CA 95630-3064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Savita D Kumar | Clinical Social Worker | 7210 Pine Grove Way, Folsom, CA 95630-1922 | |
| Geoffrey A Allen | Chiropractic | 9477 Greenback Ln, Suite 520, Folsom, CA 95630-2087 | |
| Gina E Nelson | Clinical Social Worker | 555 Oakdale St, Suite D, Folsom, CA 95630-2451 | |
| Heather M Serpa | Chiropractic | Serpa Chiropractic Inc. | 513 Natoma St, Folsom, CA 95630-2523 |
| David J Serpa | Chiropractic | Serpa Chiropractic Inc. | 513 Natoma St, Folsom, CA 95630-2523 |
| William R Bassett | Physical Therapy | Body Concepts Inc. | 705 Gold Lake Dr, Suite 350, Folsom, CA 95630-2558 |
| Donald Gutman | Internal Medicine | 510 Mill St, Folsom, CA 95630-2607 | |
| William J Garcia | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
| Michael J Moore | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
| Timothy E Mcgonigle | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
| Find all physicians in zip 95630 | |||
| City | FOLSOM |
| Zip Code | 95630 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FOLSOM + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.