WALTER CARELL III (NPI# 1619377579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619377579 |
| Entity Type | Individual |
| Full Name | WALTER CARELL III |
| Credential | LMT |
| Practice Address |
390 W 12th Ave Ste 202 Eugene OR 97401-3449 |
| Mailing Address |
220 Santa Clara Ave Eugene OR 97404-2038 |
| Practice Telephone | 5415542730 |
| Mailing Telephone | 5415542730 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 20737 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MASSAGE THERAPIST | 20737 | 01 |
| Street Address |
390 W 12TH AVE STE 202 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-3449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356886808 | Mary Wheeler, Lmt | Mechanotherapist | 67 N Polk St, Eugene, OR 97402-4108 | 2016-12-19 |
| 1417364027 | Alicia Rodriguez | Mechanotherapist | 4266 Royal Ave, Eugene, OR 97402-1714 | 2014-07-15 |
| 1609287994 | Takayo Fackrell | Mechanotherapist | 1634 Jean Ct, Eugene, OR 97402-3006 | 2014-05-08 |
| 1821434614 | Dorothy Kay Hilburn | Mechanotherapist | 2252 Ridgeway Dr, Eugene, OR 97401-6558 | 2013-05-20 |
| 1023453776 | Abigail Lien | Mechanotherapist | 119 Hansen Ln, Eugene, OR 97404-3185 | 2013-05-08 |
| 1346584190 | Rachel Adams | Mechanotherapist | 1150 Darlene Ln, Apt 209, Eugene, OR 97401-1551 | 2012-11-17 |
| 1255699518 | Lauren C Bailey | Mechanotherapist | 1850 W 24th Ave, Eugene, OR 97405-1638 | 2012-04-24 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1629352729 | Chelsea Kate Heath | Mechanotherapist | 506 Sandstone Way, Eugene, OR 97402-2206 | 2011-10-06 |
| 1114214863 | Christine Marie Flaherty | Mechanotherapist | 755 River Rd, Eugene, OR 97404-3331 | 2011-07-01 |
| Find all providers in EUGENE | ||||
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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.