Individual provider Active NPI

Carrie F Sorrell, LMT

  • Massage Therapist
  • Polson, MT
National Provider Identifier
1659965119
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2683 Issued in MT
Practice address
801 4TH Ave E
Polson, MT 59860-7020
Phone
(406) 883-4216
Fax
(406) 883-6761
NPI assigned
Feb 25, 2021
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 2683 MT Primary

Addresses

Primary practice location

801 4TH Ave E
Polson, MT 59860-7020

Mailing address

801 4TH Ave E
Polson, MT 59860-7020
Phone (406) 883-4216

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
2683MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Collins II DC Single Specialty CurrentSince Mar 4, 2021 Accepting new patients
Polson Family Chiropractic Inc. Single Specialty PastSince Mar 4, 2021 Accepting new patients

Locations

801 4th Ave E
Polson, MT 59860
Phone (406) 360-3024

Organizations & group practices 2

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": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1659965119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 4TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598607020",
            "telephone_number": "406-883-4216",
            "fax_number": "406-883-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 4TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598607020",
            "telephone_number": "406-883-4216",
            "fax_number": "406-883-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELL",
        "first_name": "CARRIE",
        "middle_name": "F",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "2683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polson, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.