Individual provider Active NPI

Marina Vasilevna McGuire

  • Massage Therapist
  • Veneta, OR
National Provider Identifier
1902373194
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
24447 Issued in OR
Practice address
88267 Territorial Rd Ste 12
Veneta, OR 97487-9499
Phone
(541) 840-4934
NPI assigned
Oct 25, 2018
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 24447 OR Primary

Addresses

Primary practice location

88267 Territorial Rd Ste 12
Veneta, OR 97487-9499

Mailing address

25113 Lamb Rd
Elmira, OR 97437-9743
Phone (541) 840-4934

Other practice location 1

1375 Pearl St
Eugene, OR 97401-3523
Phone (541) 683-3377

Other practice location 2

775 Monroe St
Eugene, OR 97402-5135
Phone (541) 762-2009

Other identifiers 1

IdentifierTypeStateIssuer
24447OtherORLICENSED MASSAGE THERAPY

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
24447ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Injoy Wellness Massage Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1902373194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25113 LAMB RD",
            "city": "ELMIRA",
            "state": "OR",
            "postal_code": "974379743",
            "telephone_number": "541-840-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88267 TERRITORIAL RD STE 12",
            "city": "VENETA",
            "state": "OR",
            "postal_code": "974879499",
            "telephone_number": "541-840-4934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013523",
            "country_code": "US",
            "telephone_number": "541-683-3377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974025135",
            "country_code": "US",
            "telephone_number": "541-762-2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "MARINA",
        "middle_name": "VASILEVNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2020-11-13",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPY",
            "identifier": "24447",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Veneta, OR

Sources for this page

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