Active NPI
Maria Madeline Greenbaum, LMP
- Massage Therapist
- Issaquah, WA
National Provider Identifier
1043519036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 588149-10
- Practice address
- 450 NW Gilman Blvd
Suite 201
Issaquah, WA 98027-2483 - Phone
- (425) 835-2503
- NPI assigned
- Mar 16, 2011
- Last updated
- Apr 24, 2017
- Sex
- Female
- 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 | 588149-10 | WA | Primary |
Addresses
Primary practice location
450 NW Gilman Blvd
Suite 201
Issaquah, WA 98027-2483
Mailing address
PO Box 3057
Issaquah, WA 98027-0137
Phone (425) 835-2503
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 |
|---|---|---|---|
| 588149-10 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Integrative Health PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1043519036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3057",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980270137",
"telephone_number": "425-835-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 NW GILMAN BLVD",
"address_2": "SUITE 201",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272483",
"telephone_number": "425-835-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBAUM",
"first_name": "MARIA",
"middle_name": "MADELINE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "588149-10",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.