Individual provider Active NPI

Sadie Mae Kurth, LMP

  • Mechanotherapist
  • Pasco, WA
National Provider Identifier
1013350537
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA60215446 Issued in WA
Practice address
7007 Burden Blvd
Suite 104
Pasco, WA 99301-9185
Phone
(509) 543-1123
NPI assigned
Apr 15, 2013
Last updated
Jul 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA60215446 WA Primary

Addresses

Primary practice location

7007 Burden Blvd
Suite 104
Pasco, WA 99301-9185

Mailing address

7007 Burden Blvd
Suite 104
Pasco, WA 99301-9185
Phone (509) 543-1123

Other names 1

  • Ms. Sadie Mae Vice 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
MA60215446WAMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Herres Chiropractic, LLC PastSince Mar 1, 2007 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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1013350537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 BURDEN BLVD",
            "address_2": "SUITE 104",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019185",
            "telephone_number": "509-543-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 BURDEN BLVD",
            "address_2": "SUITE 104",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019185",
            "telephone_number": "509-543-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTH",
        "first_name": "SADIE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60215446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADIE",
            "last_name": "VICE",
            "middle_name": "MAE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.