Individual provider Active NPI

Marchand Marie Montiel, MPT

  • Physical Therapist
  • Pasco, WA
National Provider Identifier
1386703254
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009964 Issued in WA
Practice address
4215 Convention PL
Suite B
Pasco, WA 99301-8148
Phone
(509) 545-1010
Fax
(509) 545-1112
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00009964 WA Primary

Addresses

Primary practice location

4215 Convention PL
Suite B
Pasco, WA 99301-8148

Mailing address

6177 River Crest Dr
Ste a
Riverside, CA 92507-0728
Phone (509) 628-3516

Other names 1

  • Mrs. Marchand Marie Morris Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301001288 CA Practitioner - Physical Therapist in Private Practice 4183511512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Spine Restoration Center IncGroup PAC ID 7214824648, 19 clinicians

Practice addresses (Care Compare)

6177 River Crest Dr
Suite a
Riverside, CA 92507-0728
Phone (951) 653-4480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00009964WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Spine Restoration Center, Inc Physical Therapist CurrentSince Oct 1, 2012 Accepting new patients
Oasis Physical Therapy, PLLC Physical Therapist PastSince Apr 11, 2007 Accepting new patients
Superior Health Care PLLC Physical Therapist Past Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist PastSince May 15, 2022 Accepting new patients

Locations

6177 River Crest Dr
Ste A
Riverside, CA 92507
Phone (951) 653-4480

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1386703254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6177 RIVER CREST DR",
            "address_2": "STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070728",
            "telephone_number": "509-628-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 CONVENTION PL",
            "address_2": "SUITE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018148",
            "telephone_number": "509-545-1010",
            "fax_number": "509-545-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIEL",
        "first_name": "MARCHAND",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCHAND",
            "last_name": "MORRIS",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.