Active NPI
Mari Linda Ellingsen, DC LMP
- Massage Therapist
- Bainbridge Island, WA
National Provider Identifier
1396952040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6782
- Practice address
- 2 On the Square
Bainbridge Island, WA 98110 - Phone
- (206) 842-6688
- Fax
- (206) 842-6689
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3265 | WA | |
| Massage Therapist | 225700000X | 6782 | WA | Primary |
Addresses
Primary practice location
2 On the Square
Bainbridge Island, WA 98110
Mailing address
2 On the Square
Bainbridge Island, WA 98110
Phone (206) 842-6688
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109378 | Other | DEPARTMENT OF LABOR AND | |
| 5001404 | Other | AETNA | |
| 911736082EL6082 | Other | REGENCE BLUE SHIELD | |
| 1306020 | Other | HIGHMARK BLUE SHIELD | |
| 653335 | Other | ACN GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100506000209 | WA | Practitioner - Chiropractic | 3678601036 | Practice locations: Bainbridge Island, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
265 Winslow Way
Suite 2
Bainbridge Island, WA 98110-2462
265 Winslow Way E
Bainbridge Island, WA 98110-2462
Phone (206) 842-6688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3265 | WA | MD | Chiropractor |
| 6782 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1396952040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ON THE SQUARE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "98110",
"telephone_number": "206-842-6688",
"fax_number": "206-842-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ON THE SQUARE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "98110",
"telephone_number": "206-842-6688",
"fax_number": "206-842-6689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGSEN",
"first_name": "MARI",
"middle_name": "LINDA",
"name_prefix": "Ms.",
"credential": "DC LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "3265",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "6782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR AND",
"identifier": "109378",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5001404",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "911736082EL6082",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1306020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP",
"identifier": "653335",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.