Individual provider Active NPI

Erica Chenelle Marshall, LMT

  • Massage Therapist
  • Oak Harbor, WA
National Provider Identifier
1679829147
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61029009 Issued in WA
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

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
17625ORMDMassage Therapist
61029009WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harada Physical Therapy & Rehab Services Inc., P.S. CurrentSince Feb 2, 2020 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.

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.

Verify at the official NPI Registry.