Active NPI
Rene Soperanez II, LMT
- Massage Therapist
- Wenatchee, WA
National Provider Identifier
1043970486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61256789
- Practice address
- 320 N Chelan Ave
Wenatchee, WA 98801-2107 - Phone
- (509) 663-5244
- NPI assigned
- Dec 27, 2021
- Last updated
- Dec 27, 2021
- 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 | 61256789 | WA | Primary |
Addresses
Primary practice location
320 N Chelan Ave
Wenatchee, WA 98801-2107
Mailing address
6125 Hay Canyon Rd SPC 12
Cashmere, WA 98815-9573
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Soap | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 61256789 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flow Like Water Massage PLLC | Massage Therapist | Current | 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": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1043970486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6125 HAY CANYON RD SPC 12",
"city": "CASHMERE",
"state": "WA",
"postal_code": "988159573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012107",
"telephone_number": "509-663-5244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPERANEZ",
"first_name": "RENE",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-27",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61256789",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Soap",
"affiliation": "N",
"endpointDescription": "Private Notes",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "320 N Chelan Ave",
"city": "Wenatchee",
"state": "WA",
"country_code": "US",
"postal_code": "988012107",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.