Active NPI
Erica Chenelle Marshall, LMT
- Massage Therapist
- Oak Harbor, WA
National Provider Identifier
1679829147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61029009
- Practice address
- 31955 Sr 20
Oak Harbor, WA 98277 - Phone
- (360) 679-8600
- Fax
- (360) 679-8554
- NPI assigned
- Aug 1, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 17625 | OR | |
| Massage Therapist | 225700000X | 61029009 | WA | Primary |
Addresses
Primary practice location
31955 Sr 20
Oak Harbor, WA 98277
Mailing address
1136 Donald Ave
Oak Harbor, WA 98277-8228
Phone (541) 761-7698
Other practice location 1
101 S Main St
Coupeville, WA 98239-3519
Phone (360) 682-2770
Other names 1
- Mrs. Erica Chenelle Brown
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 |
|---|---|---|---|
| 17625 | OR | MD | Massage Therapist |
| 61029009 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harada Physical Therapy & Rehab Services Inc., P.S. | Current | Accepting new patients | |
| Hamed Madani DC PC | Past | Accepting new patients |
Locations
101 S Main St
Coupeville, WA 98239
Phone (360) 678-1200
31955 State Route 20
Oak Harbor, WA 98277
Phone (360) 279-9000
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 and National Provider Directory roles.
-
- Physical Therapist
- Oak Harbor, WA
- NPI 1629066717
-
- Chiropractor
- Eugene, OR
- NPI 1205290509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1679829147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 DONALD AVE",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982778228",
"telephone_number": "541-761-7698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31955 SR 20",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "98277",
"telephone_number": "360-679-8600",
"fax_number": "360-679-8554"
}
],
"practiceLocations": [
{
"address_1": "101 S Main St",
"address_purpose": "LOCATION",
"city": "Coupeville",
"state": "WA",
"postal_code": "982393519",
"country_code": "US",
"telephone_number": "360-682-2770",
"fax_number": "360-682-2959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "ERICA",
"middle_name": "CHENELLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "17625",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61029009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "BROWN",
"middle_name": "CHENELLE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.