Individual provider Active NPI

Micah Romano

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1073152492
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60634223 Issued in WA
Practice address
2402 Broadway St
Vancouver, WA 98663-3229
Phone
(360) 241-6630
Fax
(360) 567-0620
NPI assigned
Jan 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 MA60634223 WA Primary

Addresses

Primary practice location

2402 Broadway St
Vancouver, WA 98663-3229

Mailing address

2402 Broadway St
Vancouver, WA 98663-3229
Phone (360) 241-6630

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address notifications@intouchmessage.mychirotouch.com Direct Olsen Chiropractic, LLC

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
MA60634223WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1073152492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633229",
            "telephone_number": "360-241-6630",
            "fax_number": "360-567-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633229",
            "telephone_number": "360-241-6630",
            "fax_number": "360-567-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "MICAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-02",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60634223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "notifications@intouchmessage.mychirotouch.com",
            "affiliation": "Y",
            "endpointDescription": "server",
            "affiliationName": "Olsen Chiropractic, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2402 Broadway St",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986633229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.