Matthew McCommons, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61133560 Issued in WA

Practice address

4556 Klahanie Dr SE
Sammamish, WA 98029-5812

Phone

(425) 391-5050

NPI assigned

Feb 19, 2021

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Your Neighborhood Healthcare Center PLLC

  dba KLahanie Chiropractic

  • Chiropractor
  • Issaquah, WA
  • NPI 1760628986

  Single Specialty

  NPD

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1073106068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 291ST AVE NE",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980149602",
            "telephone_number": "425-457-4774",
            "fax_number": "425-457-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4556 KLAHANIE DR SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980295812",
            "telephone_number": "425-391-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMMONS",
        "first_name": "MATTHEW",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61133560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Kyle Martin, D.C.
• Tracey Diane Martin, MS, CN
• Emily K Matson, MS, RDN, CD
• David McAuley, MD
• Jacob McComas
• Doria Lynn McGahey, LMHC
• Tammy McInnis, N.D.
• William Yeardon McKee, MD
• Anne McKenzie, PHD
• Meaningful Psychiatry PLLC

• Massage Therapist in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.