Individual provider Active NPI

Susan Coxen

  • Massage Therapist
  • Springfield, OR
National Provider Identifier
1427440460
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60420419 Issued in WA
Practice address
155 W a St
Springfield, OR 97477-4516
Phone
(541) 788-3787
NPI assigned
Feb 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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 MA60420419 WA Primary

Addresses

Primary practice location

155 W a St
Springfield, OR 97477-4516

Mailing address

328 Mansfield St
Springfield, OR 97477-1440
Phone (541) 788-3787

Other practice location 1

703 Broadway St
Ste 500
Vancouver, WA 98660-3276
Phone (360) 690-0081

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
MA60420419WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hutton Chiropractic Clinic Inc PastSince Jan 17, 2018 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1427440460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 MANSFIELD ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771440",
            "telephone_number": "541-788-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W A ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774516",
            "telephone_number": "541-788-3787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Broadway St",
            "address_2": "Ste 500",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603276",
            "country_code": "US",
            "telephone_number": "360-690-0081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COXEN",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60420419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.