Organization Active NPI

Kitsap Massage Therapy

Doing business as KMT

  • Massage Therapist
  • Bremerton, WA
National Provider Identifier
1063692572
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
KITSAP MASSAGE THERAPY
Doing business as
KMT
Practice address
2601 Cherry Ave Ste 100
Bremerton, WA 98310-4214
Phone
(360) 616-0487
NPI assigned
Nov 13, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Trina M BlockNPI 1881928596
Title
Owner/Partner
Phone
(360) 271-4123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X WA Primary

Addresses

Primary practice location

2601 Cherry Ave Ste 100
Bremerton, WA 98310-4214

Mailing address

2601 Cherry Ave Ste 100
Bremerton, WA 98310-4214
Phone (360) 616-0487

Other names 1

  • KMT Doing business as

National Provider Directory

National Provider Directory

Locations

2601 Cherry Ave
Ste 100
Bremerton, WA 98310
Phone (206) 792-2717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1063692572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE STE 100",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104214",
            "telephone_number": "360-616-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE STE 100",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104214",
            "telephone_number": "360-616-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "360-271-4123"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KMT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.