The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chantilly and Virginia

5 active clinicians are listed under Massage Therapist with a practice address in Chantilly, VA (1,101 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-01-08

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

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

📍

Practice Location (Initial Record) July 14, 2015

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

📍

Business Mailing Address (Initial Record) July 14, 2015

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

👤

Provider Name / Credentials (Initial Record) July 14, 2015

Recorded as ANNETTE ECCLES, NCTMBW, LMT

🎓

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

Massage Therapist (license number reported to NPPES: VA 0019009023)

🟢

Initial NPI Registration & Enumeration July 31, 2011

First registered as active Individual Practitioner in NPPES Database.

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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

Update or Correct Profile

Mailing Address

23510 Spinning Wheel Ct

Aldie, VA 201052488

Phone: 5713732042

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.