Marissa M Loosli, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06574 Issued in OR

Practice address

1700 Main St
Suite 222
Washougal, WA 98671-4126

Phone

(360) 835-5349

Fax

(360) 835-5390

NPI assigned

Jun 27, 2011

Last updated

Apr 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, ID2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nichols Therapy Group P.C.Group PAC ID 0345229068, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nichols Therapy Group PC

  dba NorthStar Physical Therapy

  • Physical Therapist
  • Star, ID
  • NPI 1043380769
  Medicare reassignment Care Compare group
• Kab Physical Therapy LLC

  dba Impact Physical Therapy of Hillsboro

  • Physical Therapist
  • Hillsboro, OR
  • NPI 1447568183
  Medicare reassignment NPD
• Washougal Sport and Spine, Inc.

  • Physical Therapy Clinic/Center
  • Washougal, WA
  • NPI 1871743526
  NPD (past)
• Impact Physical Therapy, LLC

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1083655260
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1336435486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 NE BELKNAP CT",
            "address_2": "STE 107",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245114",
            "telephone_number": "360-835-5349",
            "fax_number": "360-835-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MAIN ST",
            "address_2": "SUITE 222",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986714126",
            "telephone_number": "360-835-5349",
            "fax_number": "360-835-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOSLI",
        "first_name": "MARISSA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06574",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60218867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cynthia Rhea Lewis-Younger, MD, MPH
• Longs Drug Stores California Inc (Longs Drug Store)
• Pamela Jane Lyons, OTR/L
• Malynn Elizabeth Lytle, MT
• McKinley Lynn Macgregor
• Cassandra Maddux, LMP
• Ashley L Makowski, LPN

• Physical Therapist in Washougal, WA
• Providers in Washougal, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.