Individual provider Active NPI

Trudy Stebbins, LMT

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1053930909
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61035452 Issued in WA
Practice address
1303 S Grand Blvd
Spokane, WA 99202-1136
Phone
(509) 838-2225
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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 MA61035452 WA Primary

Addresses

Primary practice location

1303 S Grand Blvd
Spokane, WA 99202-1136

Mailing address

1509 S Rockwood Blvd
Spokane, WA 99203-3554
Phone (509) 638-5226

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@ahaspokane.com Direct

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
MA61035452WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Healthcare Associates, P.S CurrentSince Apr 17, 2020 Accepting new patients

Locations

1303 S Grand Blvd
Spokane, WA 99202
Phone (509) 474-0213

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1053930909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S ROCKWOOD BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033554",
            "telephone_number": "509-638-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021136",
            "telephone_number": "509-838-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "TRUDY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61035452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@ahaspokane.com",
            "affiliation": "N",
            "endpointDescription": "Business email address.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1303 S Grand Blvd",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992021136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.