Individual provider Active NPI

Marquez Taylor, LMT

  • Massage Therapist
  • Moses Lake, WA
National Provider Identifier
1033721634
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61096163 Issued in WA
Practice address
1240 S Pioneer Way Ste a
Moses Lake, WA 98837-2347
Phone
(509) 634-0703
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 MA61096163 WA Primary

Addresses

Primary practice location

1240 S Pioneer Way Ste a
Moses Lake, WA 98837-2347

Mailing address

1240 S Pioneer Way Ste a
Moses Lake, WA 98837-2347
Phone (509) 634-0703

Other practice location 1

1342 S Pioneer Way
Moses Lake, WA 98837-2410
Phone (509) 707-0079

Other practice location 2

938 W 3rd Ave
Moses Lake, WA 98837-2011
Phone (509) 350-4785

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
MA61096163WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands Down Massage Therapy PLLC Massage Therapist CurrentSince Jul 16, 2023 Accepting new patients
Northwest Medical Group PLLC Massage Therapist PastSince Jan 12, 2025 Accepting new patients

Locations

414 S Beech St
Ste 5
Moses Lake, WA 98837
Phone (509) 634-0703

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHJGAA
  • FHIR API: https://api.platform.athenahealth.com/2340/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1033721634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 S PIONEER WAY STE A",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372347",
            "telephone_number": "509-634-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S PIONEER WAY STE A",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372347",
            "telephone_number": "509-634-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1342 S Pioneer Way",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988372410",
            "country_code": "US",
            "telephone_number": "509-707-0079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "938 W 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988372011",
            "country_code": "US",
            "telephone_number": "509-350-4785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARQUEZ",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61096163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.