Individual provider Active NPI

Ayrian Shalee Ott, LMP

  • Massage Therapist
  • Bothell, WA
National Provider Identifier
1003242819
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00010715 Issued in WA
Practice address
10024 Main St
Suite 2 C
Bothell, WA 98011-3464
Phone
(425) 485-1413
NPI assigned
Sep 25, 2013
Last updated
Sep 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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 MA00010715 WA Primary

Addresses

Primary practice location

10024 Main St
Suite 2 C
Bothell, WA 98011-3464

Mailing address

7427 NE 144TH PL
Kirkland, WA 98034-4920
Phone (206) 295-3634

Other names 1

  • Ayrian Shalee Betts Former name

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
MA00010715WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bothell Chiropractic & Wellness, PLLC PastSince Jul 1, 2009 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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1003242819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7427 NE 144TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344920",
            "telephone_number": "206-295-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 MAIN ST",
            "address_2": "SUITE 2 C",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113464",
            "telephone_number": "425-485-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "AYRIAN",
        "middle_name": "SHALEE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00010715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYRIAN",
            "last_name": "BETTS",
            "middle_name": "SHALEE",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.