Individual provider Active NPI

Elizabeth Samantha King

  • Massage Therapist
  • Arlington, WA
National Provider Identifier
1053999334
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61043158 Issued in WA
Practice address
3710 168TH St NE Ste A102
Arlington, WA 98223-8462
Phone
(559) 304-3446
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 61043158 WA Primary

Addresses

Primary practice location

3710 168TH St NE Ste A102
Arlington, WA 98223-8462

Mailing address

4526 226TH PL NE
Arlington, WA 98223-7691
Phone (559) 304-3446

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Raintree
SOAP URL Raintree

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
61043158WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1053999334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 226TH PL NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982237691",
            "telephone_number": "559-304-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 168TH ST NE STE A102",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238462",
            "telephone_number": "559-304-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ELIZABETH",
        "middle_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61043158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Raintree",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SOAP",
            "address_1": "4526 226th Pl NE",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982237691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Raintree",
            "affiliation": "N",
            "address_1": "4526 226th Pl NE",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982237691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.