Individual provider Active NPI

Marissa Jenae Veik, PT, DPT

  • Physical Therapist
  • Salem, OR
National Provider Identifier
1770123283
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06582 Issued in OR
Practice address
3871 Fairview Industrial Dr SE Ste 150
Salem, OR 97302-1172
Phone
(503) 926-4299
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06582 OR Primary

Addresses

Primary practice location

3871 Fairview Industrial Dr SE Ste 150
Salem, OR 97302-1172

Mailing address

1367 Horizon Ridge CT NE
Keizer, OR 97303-7886

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
06582ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creating Pathways PastSince Jan 19, 2020 Accepting new patients
Pediatric Therapy Services Inc PastSince Jan 19, 2020 Accepting new patients

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1770123283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 HORIZON RIDGE CT NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973037886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 FAIRVIEW INDUSTRIAL DR SE STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021172",
            "telephone_number": "503-926-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEIK",
        "first_name": "MARISSA",
        "middle_name": "JENAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.