Individual provider Active NPI

Ellen A Rochon, LMT

  • Specialist
  • Longview, WA
National Provider Identifier
1013276906
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00021494 Issued in WA
Practice address
820 Ocean Beach Hwy Ste 116
Longview, WA 98632-4081
Phone
(360) 414-3220
Fax
(360) 353-5350
NPI assigned
May 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00021494 WA Primary

Addresses

Primary practice location

820 Ocean Beach Hwy Ste 116
Longview, WA 98632-4081

Mailing address

820 Ocean Beach Hwy Ste 116
Longview, WA 98632-4081
Phone (360) 414-3220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00021494WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverwoods Chiropractic & Massage, PLLC PastSince Mar 1, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1013276906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 OCEAN BEACH HWY STE 116",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324081",
            "telephone_number": "360-414-3220",
            "fax_number": "360-353-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 OCEAN BEACH HWY STE 116",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324081",
            "telephone_number": "360-414-3220",
            "fax_number": "360-353-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHON",
        "first_name": "ELLEN",
        "middle_name": "A",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00021494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.