Active NPI
Carley Ewert, LMP
- Massage Therapist
- Redmond, WA
National Provider Identifier
1083855084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60034375
- Practice address
- 15230 NE 24TH St Ste 1-S
Redmond, WA 98052-5540 - Phone
- (619) 847-7769
- NPI assigned
- Mar 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 60034375 | WA | Primary |
Addresses
Primary practice location
15230 NE 24TH St Ste 1-S
Redmond, WA 98052-5540
Mailing address
28321 NE 146TH St
Duvall, WA 98019-8135
Phone (619) 847-7769
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60034375 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237507200000",
"number": "1083855084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28321 NE 146TH ST",
"city": "DUVALL",
"state": "WA",
"postal_code": "980198135",
"telephone_number": "619-847-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15230 NE 24TH ST STE 1-S",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525540",
"telephone_number": "619-847-7769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWERT",
"first_name": "CARLEY",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-20",
"last_updated": "2009-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60034375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.