Active NPI
Kai Forgach
- Massage Therapist
- Omak, WA
National Provider Identifier
1023664083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60896965
- Practice address
- 208 S Main St
Omak, WA 98841-9755 - Phone
- (509) 826-2111
- NPI assigned
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 60896965 | WA | Primary |
Addresses
Primary practice location
208 S Main St
Omak, WA 98841-9755
Mailing address
602 Chewiliken Valley Rd
Riverside, WA 98849-9635
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60896965 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1023664083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 CHEWILIKEN VALLEY RD",
"city": "RIVERSIDE",
"state": "WA",
"postal_code": "988499635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 S MAIN ST",
"city": "OMAK",
"state": "WA",
"postal_code": "988419755",
"telephone_number": "509-826-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORGACH",
"first_name": "KAI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "60896965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omak, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.