Carol Louise Owen, CMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

201 E Hamilton Ave
Campbell, CA 95008-0206

Phone

(408) 376-0900

Fax

(408) 376-0886

NPI assigned

Dec 7, 2006

Last updated

Dec 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• Deryke and Associates, Inc

  dba Myofascial Therapy

  • Physical Therapist
  • Campbell, CA
  • NPI 1275690984

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1083773816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959880092",
            "telephone_number": "530-934-7046",
            "fax_number": "530-934-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080206",
            "telephone_number": "408-376-0900",
            "fax_number": "408-376-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "CAROL",
        "middle_name": "LOUISE",
        "credential": "CMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris M. Ota, RPT
• Robert William Otto, RBT, MA
• Samantha Otu-Amoah
• Beiting Ouyang
• Mohammad Ali Oveissi, ED.D.
• Rosa Marina Oyedele
• Jonathan Raul Pacheco
• Marcelle Carrilho Alecrim Pacheco, RD
• Pacific Clinics
• Pacific Clinics

• Massage Therapist in Campbell, CA
• Providers in Campbell, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.