| Scott Lee Marshall, PT | |
|
1440 W Walnut St, #2, Jacksonville, IL 62650-1143 | |
| (217) 245-1455 | |
| (217) 243-6903 |
| Full Name | Scott Lee Marshall |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1440 W Walnut St, Jacksonville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649259342 | NPI | - | NPPES |
| 1083769475 | Other | IL | DMERC NPI |
| 216653 | Other | IL | GROUP PTAN |
| 0005415281 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070010488 (Illinois) | Primary |
| Provider Name | Beardstown Therapy Clinic |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1700596442 PECOS PAC ID: 6507223989 Enrollment ID: O20230530001670 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Lee Marshall, PT 1440 W Walnut St, #2, Jacksonville, IL 62650-1143 Ph: (217) 245-1455 | Scott Lee Marshall, PT 1440 W Walnut St, #2, Jacksonville, IL 62650-1143 Ph: (217) 245-1455 |
Patricia Hobson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-9541 Fax: 217-479-5675 | |
Evan L Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 W Morton Ave, Suite 16a, Jacksonville, IL 62650 Phone: 217-245-4640 Fax: 217-245-4642 | |
Abby G Henry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 W Walnut St, #2, Jacksonville, IL 62650 Phone: 217-245-1455 Fax: 217-243-6903 | |
Empowerme Rehabilitation Il Agency, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2225 W Morton Ave, Jacksonville, IL 62650 Phone: 217-245-2996 | |
Physical Therapists Clinic, Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 W Walnut St, Suite2, Jacksonville, IL 62650 Phone: 217-245-1325 Fax: 217-243-6903 | |
Curt E Keim, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 W Walnut St, #2, Jacksonville, IL 62650 Phone: 217-245-1455 Fax: 217-243-6903 | |
Kimberly J Ash, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-9541 Fax: 217-479-5675 |