Individual provider Active NPI

Kacie Masserant

  • Massage Therapist
  • Gig Harbor, WA
National Provider Identifier
1003622010
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61614282 Issued in WA
Practice address
3715 56TH St
Gig Harbor, WA 98335-8240
Phone
(253) 851-5138
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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 MA61614282 WA Primary

Addresses

Primary practice location

3715 56TH St
Gig Harbor, WA 98335-8240

Mailing address

2040 SE Segwick Rd
Unit 209
Port Orchard, WA 98366
Phone (360) 721-4830

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
MA61614282WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Chiropractic Wellness Center PS CurrentSince Dec 8, 2024 Accepting new patients

Locations

3715 56th St
Gig Harbor, WA 98335
Phone (253) 851-5138

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": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1003622010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 SE SEGWICK RD",
            "address_2": "UNIT 209",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-721-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 56TH ST",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358240",
            "telephone_number": "253-851-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSERANT",
        "first_name": "KACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61614282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.