Individual provider Active NPI

Alaina Grace Calavan

  • Massage Therapist
  • Gig Harbor, WA
National Provider Identifier
1093441248
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61335440 Issued in WA
Practice address
11515 Burnham Dr Ste 101
Gig Harbor, WA 98332-8543
Phone
(253) 858-5152
Fax
(253) 323-1180
NPI assigned
Jul 29, 2022
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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 MA61335440 WA Primary

Addresses

Primary practice location

11515 Burnham Dr Ste 101
Gig Harbor, WA 98332-8543

Mailing address

11515 Burnham Dr Ste 101
Gig Harbor, WA 98332-8543
Phone (253) 858-5152

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
MA61335440WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Life Chiropractic PC CurrentSince Jul 31, 2022 Accepting new patients

Locations

11515 Burnham Dr
Ste 101
Gig Harbor, WA 98332
Phone (253) 858-5152

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": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1093441248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 BURNHAM DR STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328543",
            "telephone_number": "253-858-5152",
            "fax_number": "253-323-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 BURNHAM DR STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328543",
            "telephone_number": "253-858-5152",
            "fax_number": "253-323-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAVAN",
        "first_name": "ALAINA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61335440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.