Individual provider Active NPI

Amanda E Sorrentino, LMT

  • Massage Therapist
  • Kennewick, WA
National Provider Identifier
1033867460
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61280936 Issued in WA
Practice address
7411 W Clearwater Ave Uppr Unitb
Kennewick, WA 99336-1683
Phone
(360) 504-8904
Fax
(509) 581-6123
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 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 MA61280936 WA Primary

Addresses

Primary practice location

7411 W Clearwater Ave Uppr Unitb
Kennewick, WA 99336-1683

Mailing address

7411 W Clearwater Ave Uppr Unitb
Kennewick, WA 99336-1683
Phone (720) 436-7668

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
MA61280936WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Sorrentino LMT PLLC Massage Therapist Current Accepting new patients
Buxbaum Family Chiropractic & Massage PastSince Mar 1, 2022 Accepting new patients

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1033867460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 W CLEARWATER AVE UPPR UNITB",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361683",
            "telephone_number": "720-436-7668",
            "fax_number": "509-581-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 W CLEARWATER AVE UPPR UNITB",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361683",
            "telephone_number": "360-504-8904",
            "fax_number": "509-581-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTINO",
        "first_name": "AMANDA",
        "middle_name": "E",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61280936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.