Individual
MR. THOMAS J MARSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
652 WOOD ST, BRISTOL, RI 02809-2425
(401) 785-1016
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(502) 576-3282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
014677
NY
225100000X
Physical Therapist
Primary
03603
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000406994010
BSNENY
NY
05
—
01966921
—
NY
01
—
040617000038
FIDELIS
NY
01
—
10025376
CDPHP
NY
01
—
227921
WELLCARE
NY
01
—
3439517
AETNA
NY
01
—
364247
MVP
NY
01
—
6697905
GHI
NY
01
—
813120
MPN
NY
01
—
Q03G11
EMPIRE BC
NY
Enumeration date
08/12/2005
Last updated
01/18/2023
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