Active NPI
John J Richter, LMP
- Massage Therapist
- Arlington, WA
National Provider Identifier
1063661957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00006529
- Practice address
- 3710 168TH St NE
#A102
Arlington, WA 98223-8461 - Phone
- (360) 658-8100
- Fax
- (360) 658-0508
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- 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 | MA00006529 | WA | Primary |
Addresses
Primary practice location
3710 168TH St NE
#A102
Arlington, WA 98223-8461
Mailing address
10505 19TH Ave SE
Suite B
Everett, WA 98208-4280
Phone (408) 570-0510
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 |
|---|---|---|---|
| MA00006529 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1063661957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10505 19TH AVE SE",
"address_2": "SUITE B",
"city": "EVERETT",
"state": "WA",
"postal_code": "982084280",
"telephone_number": "408-570-0510",
"fax_number": "408-945-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 168TH ST NE",
"address_2": "#A102",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238461",
"telephone_number": "360-658-8100",
"fax_number": "360-658-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "JOHN",
"middle_name": "J",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00006529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.