Active NPI
Denise M Myers, CNMT LMP
- Mechanotherapist
- Lakebay, WA
National Provider Identifier
1093025132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA00006148
- Practice address
- 17715 27TH St KPS
Lakebay, WA 98349 - Phone
- (253) 606-8468
- NPI assigned
- Oct 7, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA00006148 | WA | Primary |
| Mechanotherapist | 172M00000X | MA00006909 | FL |
Addresses
Primary practice location
17715 27TH St KPS
Lakebay, WA 98349
Mailing address
Pob 195
Lakebay, WA 98349
Phone (253) 606-8468
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 |
|---|---|---|---|
| MA00006909 | FL | MD | Mechanotherapist |
| MA00006148 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1093025132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POB 195",
"city": "LAKEBAY",
"state": "WA",
"postal_code": "98349",
"telephone_number": "253-606-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17715 27TH ST KPS",
"city": "LAKEBAY",
"state": "WA",
"postal_code": "98349",
"telephone_number": "253-606-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "DENISE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "CNMT LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA00006148",
"primary": true
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA00006909",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakebay, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.