SHIRLEY JEAN CHAMPOUX (NPI# 1841273794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841273794 |
| Entity Type | Individual |
| Full Name | SHIRLEY JEAN CHAMPOUX |
| Credential | LMP |
| Practice Address |
4957 Lakemont Blvd Se Suite C3 Tai Lakemont Physical Therapy Bellevue WA 98006-7801 |
| Mailing Address |
11481 Sw Hall Blvd Suite 201 Therapeutic Assocaites Inc Portland OR 97223-8403 |
| Practice Telephone | 4254018406 |
| Practice Fax Number | 4254018458 |
| Mailing Telephone | 8002198835 |
| Mailing Fax Number | 5034431402 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA0004641 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4957 LAKEMONT BLVD SE SUITE C3 TAI LAKEMONT PHYSICAL THERAPY |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568799062 | Michael Erickson, O.d. | Clinic/Center | 4957 Lakemont Blvd Se, Suite C-5, Bellevue, WA 98006-7801 | 2009-11-05 |
| 1659504405 | Callen James Blackbird | Chiropractor | 4957 Lakemont Blvd Se, Suite # 175, Bellevue, WA 98006-7801 | 2009-08-27 |
| 1184899635 | Brian Daniel Crosier | Physical Therapist | 4957 Lakemont Blvd Se, Ste. C-3, Bellevue, WA 98006-7801 | 2008-04-25 |
| 1487630257 | Therapeutic Associates Inc | Occupational Therapist | 4957 Lakemont Blvd Se, Ste C3, Bellevue, WA 98006-7801 | 2005-12-22 |
| 1548243405 | Megan Gillespie Yount | Physical Therapist | 4957 Lakemont Blvd Se, Ste C3, Bellevue, WA 98006-7801 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413048 | Izumi Y Masaki | Massage Therapist | 606 120th Ave Ne Bldg D Ste 100, Bellevue, WA 98005-9800 | 2020-10-02 |
| 1508477860 | Sandra Parrella | Massage Therapist | 1400 W Main St Ste A, Bellevue, OH 44811-9088 | 2020-08-11 |
| 1598386963 | Ruixia Yu | Massage Therapist | 15350 Se 37th St, Bellevue, WA 98006-1732 | 2020-04-27 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1376185645 | Kelly Gateley Allen | Massage Therapist | 6445 Se Cougar Mountain Way, Bellevue, WA 98006-5627 | 2019-10-08 |
| 1447816459 | Yee Wa Hui | Massage Therapist | 1600 148th Ave Se Ste A, Bellevue, WA 98007-6852 | 2019-05-15 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1700341740 | Luke Stambaugh | Massage Therapist | 1409 140th Pl Ne Ste 107, Bellevue, WA 98007-3963 | 2019-02-04 |
| 1508332990 | Venessa M Dejesus | Massage Therapist | 1103 Galvin Rd S Ste K, Bellevue, NE 68005-3002 | 2018-10-23 |
| 1417443524 | C.a.m. Inc | Massage Therapist | 1008 Lincoln Rd, Bellevue, NE 68005-2362 | 2018-07-02 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.