Individual provider Active NPI

Taylor R Youngers, LMP

  • Massage Therapist
  • Ephrata, WA
National Provider Identifier
1073874053
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60291514 Issued in WA
Practice address
51 Alder St NW
Ephrata, WA 98823-1663
Phone
(509) 754-3295
Fax
(509) 754-3296
NPI assigned
Jun 6, 2012
Last updated
Jun 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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 MA60291514 WA Primary

Addresses

Primary practice location

51 Alder St NW
Ephrata, WA 98823-1663

Mailing address

32 Nob Hill Dr
Ephrata, WA 98823-1752
Phone (509) 237-3977

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
MA60291514WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Basin Chiropractic Care P.S. PastSince Dec 14, 2006 Accepting new patients

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1073874053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NOB HILL DR",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231752",
            "telephone_number": "509-237-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ALDER ST NW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231663",
            "telephone_number": "509-754-3295",
            "fax_number": "509-754-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGERS",
        "first_name": "TAYLOR",
        "middle_name": "R",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60291514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.