Annika Samuelsen, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

144 Railroad Ave Ste 205
Edmonds, WA 98020-4121

Phone

(425) 245-4257

NPI assigned

Mar 20, 2018

Last updated

Dec 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Innova Physical Therapy LLC

  • Physical Therapist
  • Redmond, WA
  • NPI 1497154504
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1053815514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21027 22ND AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367954",
            "telephone_number": "425-241-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 RAILROAD AVE STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204121",
            "telephone_number": "425-245-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSEN",
        "first_name": "ANNIKA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexnadra Bardsley Sanchez, RX TECH
• Sanctuary Psychological Services
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• Cody Frank Sandzimier, D.C.

• Massage Therapist in Edmonds, WA
• Providers in Edmonds, 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 21, 2022; 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.