Active NPI
Joseph E Marcil, PT
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1780101949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61042325
- Practice address
- 3101 SE 192ND Ave Ste 104
Vancouver, WA 98683-1443 - Phone
- (360) 553-7480
- NPI assigned
- Aug 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4246 | NH | |
| Physical Therapist | 225100000X | PT4833 | ME | |
| Physical Therapist | 225100000X | PT61042325 | WA | Primary |
Addresses
Primary practice location
3101 SE 192ND Ave Ste 104
Vancouver, WA 98683-1443
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
95 Plaistow Rd
Plaistow, NH 03865-2827
Phone (603) 378-0082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1115 SE 164TH Ave
Vancouver, WA 98683-9625
12914 NE 37TH St
Vancouver, WA 98682-7626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4833 | ME | MD | Physical Therapist |
| 4246 | NH | MD | Physical Therapist |
| PT61042325 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Consultants PC | Past | Accepting new patients | |
| Pinnacle Rehabilitation Network, LLC | Physical Therapist | Past | 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.
-
- Interventional Pain Medicine Physician
- Barrington, NH
- NPI 1215946181
-
- Physical Therapist
- Merrimack, NH
- NPI 1770674780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1780101949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 SE 192ND AVE STE 104",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831443",
"telephone_number": "360-553-7480"
}
],
"practiceLocations": [
{
"address_1": "95 Plaistow Rd",
"address_purpose": "LOCATION",
"city": "Plaistow",
"state": "NH",
"postal_code": "038652827",
"country_code": "US",
"telephone_number": "603-378-0082",
"fax_number": "603-378-0083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCIL",
"first_name": "JOSEPH",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-28",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "4246",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT4833",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61042325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.