Individual provider Active NPI

George Delarosa, LMT

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1033717467
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60849564 Issued in WA
Practice address
3209 E 57TH Ave Ste H
Spokane, WA 99223-7040
Phone
(509) 448-4398
NPI assigned
Oct 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 MA60849564 WA Primary

Addresses

Primary practice location

3209 E 57TH Ave Ste H
Spokane, WA 99223-7040

Mailing address

15207 E Valleyway Ave
Spokane Valley, WA 99037-9527

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address southhill@elementsmassage.com Direct Cannon Sparks Massage LLC

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
MA60849564WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cannon Sparks Massage LLC Massage Therapist Past 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": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1033717467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15207 E VALLEYWAY AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990379527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 E 57TH AVE STE H",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237040",
            "telephone_number": "509-448-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAROSA",
        "first_name": "GEORGE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60849564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "southhill@elementsmassage.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Cannon Sparks Massage LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3209 E 57th Ave",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992237040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.