Individual provider Active NPI

Joseph E Marcil, PT

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1780101949
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61042325 Issued in WA
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

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT4833MEMDPhysical Therapist
4246NHMDPhysical Therapist
PT61042325WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.