Rene Soperanez II, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61256789 Issued in WA

Practice address

320 N Chelan Ave
Wenatchee, WA 98801-2107

Phone

(509) 663-5244

NPI assigned

Dec 27, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Flow Like Water Massage PLLC

  • Massage Therapist
  • Twisp, WA
  • NPI 1467174813
  NPD Authorized official

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": []
}

• Keith Wesley Snow, SUDPT
• Lizabeth Anne Snow, CDP
• Anne E Sobba-Higley, MD
• Viridiana Solano
• Angelica Solorio, SC8140, MC11714
• Mauvia Ann Sorensen, ARNP
• Abraham J Sorom, M.D.
• Galen R Sorom, MD
• Jeb A. Sorom, MD
• Jenny Kay Sorom, RD, CD

• Massage Therapist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Massage Therapist in Washington

• 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.

Verify at the official NPI Registry.