Active NPI
David Leddy
- Massage Therapist
- Puyallup, WA
National Provider Identifier
1033959440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60401854
- Practice address
- 5602 176TH St E Ste G102103
Puyallup, WA 98375-9307 - Phone
- (253) 847-7646
- NPI assigned
- May 31, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 60401854 | WA | Primary |
Addresses
Primary practice location
5602 176TH St E Ste G102103
Puyallup, WA 98375-9307
Mailing address
38103 112TH Ave E
Eatonville, WA 98328
Phone (847) 529-8574
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 |
|---|---|---|---|
| 60401854 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage Me LLC | Massage Therapist | Current | Accepting new patients |
Locations
5602 176th St E
Ste G102103
Puyallup, WA 98375
Phone (253) 495-7188
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": "1717113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1033959440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38103 112TH AVE E",
"city": "EATONVILLE",
"state": "WA",
"postal_code": "98328",
"telephone_number": "847-529-8574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5602 176TH ST E STE G102103",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983759307",
"telephone_number": "253-847-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDDY",
"first_name": "DAVID",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60401854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.