Organization Active NPI

Alice Lubic LLC

  • Massage Therapist
  • Langley, WA
National Provider Identifier
1003612896
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ALICE LUBIC LLC
Practice address
772 Camano Ave Ste 101
Langley, WA 98260-9288
Phone
(360) 726-3663
NPI assigned
Feb 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alice LubicNPI 1518763390
Title
Owner
Phone
(360) 726-3663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

772 Camano Ave Ste 101
Langley, WA 98260-9288

Mailing address

772 Camano Ave Ste 101
Langley, WA 98260-9288

National Provider Directory

National Provider Directory

Locations

772 Camano Ave
Ste 101
Langley, WA 98260
Phone (360) 221-3933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1003612896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 CAMANO AVE STE 101",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 CAMANO AVE STE 101",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609288",
            "telephone_number": "360-726-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE LUBIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "LUBIC",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-726-3663"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.