MEDICARE: JOANNA LEIGH MARSHALL PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT19967	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00194010	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154326536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA LEIGH MARSHALL PT

Provider Business Mailing Address
First Line	:	6800 SOUTHPOINT PKWY STE 300
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-8203
Country	:	US
Telephone Number	:	904-634-0640
Fax Number	:	904-634-0203

Provider Business Practice Location Address
First Line	:	10475 CENTURION PKWY N STE 220
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-5004
Country	:	US
Telephone Number	:	904-634-0640
Fax Number	:	904-634-0203

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	10/09/2023

Similar Medicare Providers

1588346332 — DR. DAVID MICHAEL KINKER DNP, APRN
Practice Location Address:

10475 CENTURION PKWY N STE 301
JACKSONVILLE, FL
32256-5004

Practice Phone: 904-634-0640
Practice Fax: 904-634-0203

1962474890 — EARL NORMAN MILLER III PA-C
Practice Location Address:

10475 CENTURION PKWY N STE 301
JACKSONVILLE, FL
32256-5004

Practice Phone: 904-634-0640
Practice Fax: 904-634-0203

1366496135 — DR. STEPHEN F. FIERRO DC
Practice Location Address:

10475 CENTURION PKWY N STE 304
JACKSONVILLE, FL
32256-5004

Practice Phone: 904-270-2673
Practice Fax: 904-212-0024

1992752554 — MATTHEW BONIN PA
Practice Location Address:

10475 CENTURION PKWY N STE 201
JACKSONVILLE, FL
32256-5004

Practice Phone: 904-223-3321
Practice Fax: 904-223-2169

1700983897 — NATALEE PAIGE THOMPSON PA
Practice Location Address:

10475 CENTURION PKWY N STE 201
JACKSONVILLE, FL
32256-5004

Practice Phone: 42-239-3321
Practice Fax: 904-223-2169

1609948207 — WILLIAM RYAN SUTTON PA-C
Practice Location Address:

10475 CENTURION PKWY N STE 301
JACKSONVILLE, FL
32256-5004

Practice Phone: 904-634-0640
Practice Fax: 904-634-0203

Directions to “ JOANNA LEIGH MARSHALL PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.