Glen Erickson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00014743 Issued in WA

Practice address

1217 4TH Ave E
Suite 200
Olympia, WA 98506-4246

Phone

(360) 570-8151

Fax

(360) 943-6602

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cascade Chiropractic, Inc., P.S.

  • Chiropractor
  • Olympia, WA
  • NPI 1760541270
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003956962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 TURNER ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064665",
            "telephone_number": "360-943-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 4TH AVE E",
            "address_2": "SUITE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064246",
            "telephone_number": "360-570-8151",
            "fax_number": "360-943-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00014743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Epstein, MS, CN, CCN
• Tracy Epstein, RRT
• Ergocare Clinic PLLC (Ergocare Clinic)
• Eric Xu DDS, PLLC (Precision Dentistry of Olympia)
• Koreen April Ericks, LMP
• Juliette K. Erickson, MD
• Cassidy Anne Ermshar, PA-C
• Jeffrey A Ernst, PAC, ATC
• Olya Esary
• Jill Marie Esbeck, MSW, MHP, SWAIC

• Massage Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.