Active NPI
Jaclyn Lee Tyrrell
- Massage Therapist
- Eugene, OR
National Provider Identifier
1568297604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27657
- Practice address
- 220 Oakway Ctr
Eugene, OR 97401-5618 - Phone
- (541) 334-5000
- Fax
- (541) 344-5266
- NPI assigned
- Sep 6, 2024
- Last updated
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 27657 | OR | Primary |
Addresses
Primary practice location
220 Oakway Ctr
Eugene, OR 97401-5618
Mailing address
220 Oakway Ctr
Eugene, OR 97401-5618
Phone (541) 334-5000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27657 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHI Touch LLC | Massage Therapist | Current | Accepting new patients |
Locations
220 Oakway Ctr
Eugene, OR 97401
Phone (541) 334-5000
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": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1568297604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 OAKWAY CTR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015618",
"telephone_number": "541-334-5000",
"fax_number": "541-344-5266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 OAKWAY CTR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015618",
"telephone_number": "541-334-5000",
"fax_number": "541-344-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYRRELL",
"first_name": "JACLYN",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "27657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.