Healthcare Provider Details

I. General information

NPI: 1073709663
Provider Name (Legal Business Name): MARSHALL ANDREW ROBINSON DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 04/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 TAYLOR STATION RD
COLUMBUS OH
43213-4441
US

IV. Provider business mailing address

9636 MEADOW WOOD DRIVE
PICKERINGTON OH
43147
US

V. Phone/Fax

Practice location:
  • Phone: 614-545-7910
  • Fax: 614-545-7901
Mailing address:
  • Phone: 330-327-1357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11892
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number11892
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number11892
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: