Individual provider Active NPI

Alyssa K Anderson, LMP

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1033746995
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61033479 Issued in WA
Practice address
4340 Pacific Hwy Unit 103
Bellingham, WA 98226-9326
Phone
(360) 527-9722
Fax
(360) 527-2713
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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 MA61033479 WA Primary

Addresses

Primary practice location

4340 Pacific Hwy Unit 103
Bellingham, WA 98226-9326

Mailing address

4340 Pacific Hwy Unit 103
Bellingham, WA 98226-9326
Phone (360) 527-9722

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
MA61033479WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Terry Family Chiropractic PS CurrentSince Mar 29, 2020 Accepting new patients

Locations

4340 Pacific Hwy
Unit 103
Bellingham, WA 98226
Phone (360) 201-5712

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1033746995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 PACIFIC HWY UNIT 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269326",
            "telephone_number": "360-527-9722",
            "fax_number": "360-527-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 PACIFIC HWY UNIT 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269326",
            "telephone_number": "360-527-9722",
            "fax_number": "360-527-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALYSSA",
        "middle_name": "K",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61033479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.