Individual provider Active NPI

Malin Powell, LMT

  • Massage Therapist
  • Marysville, WA
National Provider Identifier
1316447519
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60810951 Issued in WA
Practice address
11605 State Ave Ste 111
Marysville, WA 98271-8427
Phone
(360) 657-7183
Fax
(360) 657-7183
NPI assigned
Feb 15, 2018
Last updated
Feb 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60810951 WA Primary

Addresses

Primary practice location

11605 State Ave Ste 111
Marysville, WA 98271-8427

Mailing address

4860 Humphrey Hill Rd
Sedro Woolley, WA 98284-7649
Phone (360) 540-4395

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
MA60810951WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McCann Family Chiropractic PLLC PastSince Sep 5, 2006 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1316447519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 HUMPHREY HILL RD",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982847649",
            "telephone_number": "360-540-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 STATE AVE STE 111",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718427",
            "telephone_number": "360-657-7183",
            "fax_number": "360-657-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MALIN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60810951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.