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Active NPI 1609457894 Individual Practitioner Male Practitioner

Ethan Zachary Marshall , CPO

Prosthetist • Rowlett, TX

Professional Overview & Biography Verified Profile Summary

Ethan Marshall, CPO is a registered healthcare professional specializing in Prosthetist in Rowlett, TX. Practice services are available at 9400 LAKEVIEW PKWY STE 121 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9400 Lakeview Pkwy Ste 121

Rowlett, TX 750884401

Telephone 2145014050
Fax 2145014640
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Rowlett, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Rowlett, TX (259 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-19
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License TX 2120

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License TX 2120

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sean Kim , CPO

Prosthetist

NPI 1558942581

Certified Prosthetist Orthotist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2021

Registered at 9400 LAKEVIEW PKWY STE 121, ROWLETT, TX 750884401 (Tel: 2145014050)

📍
Updated Business Mailing Address April 19, 2021

Registered at PO BOX 315, ROWLETT, TX 750300315 (Tel: 2145014050)

👤
Provider Name / Credentials Updated April 19, 2021

Recorded as ETHAN MARSHALL, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2021

Orthotist (License #2120 in TX)

🟢
Initial NPI Registration & Enumeration April 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609457894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2021
Last Update: April 19, 2021
Sole Proprietor: No

Mailing Address

Po Box 315

Rowlett, TX 750300315

Phone: 2145014050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.