Marissa J Carlin

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

815 NW 9TH St Ste 180
Corvallis, OR 97330-6173

Phone

(541) 768-5157

NPI assigned

May 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.14 of 100Reported as group

Quality

85.78

Promoting interoperability

100

Improvement activities

40

Cost

78.31

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mroos199301@samhealth.direct-ci.com

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.

• Good Samaritan Hospital Corvallis

  • General Acute Care Hospital
  • Corvallis, OR
  • NPI 1962453134
  Medicare reassignment Care Compare group NPD
• Good Samaritan Hospital Corvallis

  • Plastic Surgery Physician
  • Corvallis, OR
  • NPI 1205192457
  NPD
• Good Samaritan Hospital Corvallis

  • Gynecologic Oncology Physician
  • Corvallis, OR
  • NPI 1710787916
  NPD
• Physical Therapy Northwest Limited Partnership

  • Rehabilitation Clinic/Center
  • Stayton, OR
  • NPI 1255843355

  Physical Therapist

  NPD (past)
• PT Northwest LLC

  • Physical Therapy Clinic/Center
  • Salem, OR
  • NPI 1417934886
  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1306403258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NW 9TH ST STE 180",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306173",
            "telephone_number": "541-768-5157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Main St E",
            "address_purpose": "LOCATION",
            "city": "Monmouth",
            "state": "OR",
            "postal_code": "973612240",
            "country_code": "US",
            "telephone_number": "503-838-4244",
            "fax_number": "503-838-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "MARISSA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mroos199301@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "815 NW 9th St Ste 180",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973306173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Capehart
• Timothy De Jonghe Kenney Cappadona, OTR/L
• Amy M Card, M.D.
• Christopher William Carey, D.O.
• Andrew Pearce Carlin, PT
• Jakob Carlson, PA
• Meghan Carlson
• Zachary Carlson
• Claire Carlton
• Luc Aaron Carlton

• Physical Therapist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.