Individual provider Active NPI

Seth Thomas Englebert, LMT

  • Massage Therapist
  • Puyallup, WA
National Provider Identifier
1003563206
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61130864 Issued in WA
Practice address
615 E Pioneer Ste 109
Puyallup, WA 98372-3317
Phone
(253) 845-0543
NPI assigned
Mar 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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 61130864 WA Primary

Addresses

Primary practice location

615 E Pioneer Ste 109
Puyallup, WA 98372-3317

Mailing address

2323 E Pioneer Ste D
Puyallup, WA 98372-3502
Phone (253) 392-4817

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
61130864WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Puyallup Chiropractic Clinic PastSince Mar 13, 2022 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1003563206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E PIONEER STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723502",
            "telephone_number": "253-392-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PIONEER STE 109",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723317",
            "telephone_number": "253-845-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLEBERT",
        "first_name": "SETH",
        "middle_name": "THOMAS",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61130864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.