Organization Active NPI

Stewart Health Bodywork & Training LLC.

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1043988322
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
STEWART HEALTH BODYWORK & TRAINING LLC.
Doing business as
Stewart Health
Practice address
5555 E Evergreen Blvd Ste B
Vancouver, WA 98661-6600
Phone
(360) 281-5168
NPI assigned
Sep 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Tish Stewart, LMT
Title
Owner, Operator
Phone
(360) 281-5168

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

5555 E Evergreen Blvd Ste B
Vancouver, WA 98661-6600

Mailing address

5555 E Evergreen Blvd Ste B
Vancouver, WA 98661-6600
Phone (360) 281-5168

Other names 1

  • Stewart Health Doing business as

National Provider Directory

National Provider Directory

Locations

5555 E Evergreen Blvd
Ste B
Vancouver, WA 98661
Phone (360) 281-5168

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1043988322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 E EVERGREEN BLVD STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616600",
            "telephone_number": "360-281-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 E EVERGREEN BLVD STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616600",
            "telephone_number": "360-281-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART HEALTH BODYWORK & TRAINING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TISH",
        "authorized_official_title_or_position": "OWNER, OPERATOR",
        "authorized_official_telephone_number": "360-281-5168",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stewart Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.