Shirley Jean Champoux, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA0004641 Issued in WA

Practice address

4957 Lakemont Blvd SE
Suite C3 Tai Lakemont Physical Therapy
Bellevue, WA 98006-7801

Phone

(425) 401-8406

Fax

(425) 401-8458

NPI assigned

Nov 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Therapeutic Associates Inc

  • Physical Therapist
  • Bellevue, WA
  • NPI 1487630257
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841273794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 SW HALL BLVD",
            "address_2": "SUITE 201 THERAPEUTIC ASSOCAITES INC",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238403",
            "telephone_number": "800-219-8835",
            "fax_number": "503-443-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 LAKEMONT BLVD SE",
            "address_2": "SUITE C3 TAI LAKEMONT PHYSICAL THERAPY",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980067801",
            "telephone_number": "425-401-8406",
            "fax_number": "425-401-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPOUX",
        "first_name": "SHIRLEY",
        "middle_name": "JEAN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA0004641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Chaille, LBA, BCBA
• Chandrima Chakraborty
• Jean E Chakraborty, MD
• Alexis Marie Chamberlin, LCSW
• Alyssa Evon Chamberlin, MA, LMHC, MHP, SUDP
• Alex Chan, DDS
• Britlynn Chan, O.D.
• Caden Chan
• Chelsea Chan
• Jason Chan, DDS

• Massage Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.