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Active NPI 1093093601 Individual Practitioner Female Practitioner

Annette Eccles , NCTMBW, LMT

Massage Therapist • Chantilly, VA

Professional Overview & Biography Verified Profile Summary

Annette Eccles, NCTMBW, LMT is a registered healthcare professional specializing in Massage Therapist in Chantilly, VA. Practice services are available at 4229 LAFAYETTE CENTER DR STE 1900 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4229 Lafayette Center Dr Ste 1900

Chantilly, VA 201511260

Telephone 5713732042

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Chantilly, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Chantilly, VA (1116 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-08
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License VA 0019009023

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 08, 2021

Registered at 4229 LAFAYETTE CENTER DR STE 1900, CHANTILLY, VA 201511260 (Tel: 5713732042)

📍
Updated Business Mailing Address January 08, 2021

Registered at 23510 SPINNING WHEEL CT, ALDIE, VA 201052488 (Tel: 5713732042)

📍
Updated Business Mailing Address May 12, 2020

Registered at 24600 MILLSTREAM DR STE 340, STONE RIDGE, VA 201055686 (Tel: 5713732042)

NPI Profile Active July 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2015

Registered at 10155 W TWAIN AVE, UNIT 110, LAS VEGAS, NV 891476722 (Tel: 7028345353)

📍
Updated Business Mailing Address July 14, 2015

Registered at 9580 W SAHARA AVE, #109, LAS VEGAS, NV 891178807 (Tel: 7027863042)

👤
Provider Name / Credentials Updated July 14, 2015

Recorded as ANNETTE ECCLES, NCTMBW, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2015

Massage Therapist (License #0019009023 in VA)

🟢
Initial NPI Registration & Enumeration July 31, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093093601
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2011
Last Update: January 08, 2021
Sole Proprietor: Yes

Mailing Address

23510 Spinning Wheel Ct

Aldie, VA 201052488

Phone: 5713732042

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.