Katy Chamberlain, LMP, CCT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501010961 Issued in MI

Practice address

2118 Riverside Dr Ste 105
Mount Vernon, WA 98273

Phone

(360) 424-6104

NPI assigned

Dec 3, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cook Chiropractic, PLLC

  • Chiropractor
  • Sedro Woolley, WA
  • NPI 1790114791
  NPD (past)
• New Spine

  dba Riverside chiropractic clinic

  • Medical Specialty Clinic/Center
  • Mount Vernon, WA
  • NPI 1568906030
  NPD (past)
• Ohana Pacific, Inc.

  • Chiropractor
  • Bellingham, WA
  • NPI 1225226608
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1780929687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 CEDAR LN",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849496",
            "telephone_number": "360-202-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 RIVERSIDE DR STE 105",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-424-6104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1633 Birchwood Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982259220",
            "country_code": "US",
            "telephone_number": "360-715-8722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 S Front St Ste 232",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554635",
            "country_code": "US",
            "telephone_number": "906-869-0457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2118 Riverside Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "98273",
            "country_code": "US",
            "telephone_number": "360-424-6104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "KATY",
        "credential": "LMP, CCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60303226",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501010961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Enrique Cerrillo, SUDP
• Nicolas Cervantes, INTERPRETER
• Annushka Cesan, ARNP
• Nancy Henderson Chaffee, M.D.
• Frances T. Chalmers, M.D.
• Kelsey Rae Chambers, CNM
• Albert Chan
• Douglas Chandler, MSW
• Edwin Yao-Yuan Chang, MD
• Nicholas Chang, DPM

• Massage Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.