Individual provider Active NPI

Steven B Erminpour, MASSAGE THERAPIST

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1073136214
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61044027 Issued in WA
Practice address
1203 W Francis Ave
Spokane, WA 99205-6640
Phone
(509) 328-7575
NPI assigned
May 21, 2020
Last updated
May 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 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 MA61044027 WA Primary

Addresses

Primary practice location

1203 W Francis Ave
Spokane, WA 99205-6640

Mailing address

1202 E Providence Ave
Spokane, WA 99207-2981
Phone (714) 264-4073

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
MA61044027WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roybal Chiropractic PS CurrentSince May 24, 2020 Accepting new patients

Locations

1203 W Francis Ave
Spokane, WA 99205
Phone (509) 328-7575

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1073136214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E PROVIDENCE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072981",
            "telephone_number": "714-264-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 W FRANCIS AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056640",
            "telephone_number": "509-328-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMINPOUR",
        "first_name": "STEVEN",
        "middle_name": "B",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61044027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 21, 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.