Active NPI
Sonya Bennett, LMT
- Massage Therapist
- Bainbridge Island, WA
National Provider Identifier
1053105866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61330129
- Practice address
- 490 Madison Ave N Ste 101
Bainbridge Island, WA 98110-1871 - Phone
- (425) 466-9290
- NPI assigned
- Apr 7, 2025
- 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 | 61330129 | WA | Primary |
Addresses
Primary practice location
490 Madison Ave N Ste 101
Bainbridge Island, WA 98110-1871
Mailing address
1646 Jeannette PL NW
Bainbridge Is, WA 98110-1655
Phone (425) 466-9290
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 |
|---|---|---|---|
| 61330129 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Bodywork, LLC | Massage Therapist | Current | Accepting new patients |
Locations
490 Madison Ave N
Ste 101
Bainbridge Island, WA 98110
Phone (425) 466-9290
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": "1743984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1053105866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1646 JEANNETTE PL NW",
"city": "BAINBRIDGE IS",
"state": "WA",
"postal_code": "981101655",
"telephone_number": "425-466-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 MADISON AVE N STE 101",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101871",
"telephone_number": "425-466-9290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "SONYA",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61330129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.