Individual provider Active NPI

Alexis Lliteras Iza, LMT

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1093452955
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61299017 Issued in WA
Practice address
1033 N Tacoma Ave
Tacoma, WA 98403-2928
Phone
(253) 474-9670
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 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 MA61299017 WA Primary

Addresses

Primary practice location

1033 N Tacoma Ave
Tacoma, WA 98403-2928

Mailing address

1033 N Tacoma Ave
Tacoma, WA 98403-2928
Phone (253) 474-9670

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address reception@tacomachiro.com Direct

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
MA61299017WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Family Chiropractic Inc., P.S. CurrentSince Sep 28, 2022 Accepting new patients

Locations

1033 N Tacoma Ave
Tacoma, WA 98403
Phone (253) 474-9670

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1093452955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 N TACOMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032928",
            "telephone_number": "253-474-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N TACOMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032928",
            "telephone_number": "253-474-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLITERAS IZA",
        "first_name": "ALEXIS",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61299017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reception@tacomachiro.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1033 N Tacoma Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984032928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.