Individual provider Active NPI

Rebecca Jean Moorman, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1053741306
Registry record updated Nov 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60299284 Issued in WA
Practice address
2821 NW Market St Ste E
Seattle, WA 98107-5815
Phone
(206) 706-0063
Fax
(206) 580-1205
NPI assigned
Nov 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60299284 WA Primary

Addresses

Primary practice location

2821 NW Market St Ste E
Seattle, WA 98107-5815

Mailing address

1426 NW 61St St Apt 4
Seattle, WA 98107-2959
Phone (206) 280-1027

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

LicenseStateTypeSpecialty
MA60299284WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1385164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385164800000",
    "number": "1053741306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 NW 61ST ST APT 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072959",
            "telephone_number": "206-280-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 NW MARKET ST STE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075815",
            "telephone_number": "206-706-0063",
            "fax_number": "206-580-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORMAN",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-23",
        "last_updated": "2013-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60299284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2013; 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.