NPIMap

Organization Active NPI

Marsh Chiropractic, PS

  • Massage Therapist
  • Renton, WA
National Provider Identifier
1063570539
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MARSH CHIROPRACTIC, PS
Practice address
19201 108TH Ave SE
#101
Renton, WA 98055-7379
Phone
(253) 859-6441
Fax
(253) 859-9437
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Patricia Diane Marsh, D.C.NPI 1245265990
Title
President
Phone
(253) 859-6441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

19201 108TH Ave SE
#101
Renton, WA 98055-7379

Mailing address

19201 108TH Ave SE
#101
Renton, WA 98055-7379
Phone (253) 859-6441

Other identifiers 1

IdentifierTypeStateIssuer
124679OtherWALABOR AND INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001022 WA Part B Supplier - Clinic/Group Practice 2062303902 Receives reassigned benefits from 1 practitioner
Practice locations: Renton, WA

National Provider Directory

National Provider Directory

Locations

17836 108th Ave SE
Renton, WA 98055

19201 108th Ave SE
Ste 101
Renton, WA 98055
Phone (253) 859-6441

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063570539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19201 108TH AVE SE",
            "address_2": "#101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557379",
            "telephone_number": "253-859-6441",
            "fax_number": "253-859-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 108TH AVE SE",
            "address_2": "#101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557379",
            "telephone_number": "253-859-6441",
            "fax_number": "253-859-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSH CHIROPRACTIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-859-6441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "124679",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.