Individual provider Active NPI

Rebecca Anne Bowler, LMP

  • Massage Therapist
  • Stanwood, WA
National Provider Identifier
1104026715
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00015066 Issued in WA
Practice address
9328 271St St NW Ste a
Stanwood, WA 98292-8072
Phone
(425) 802-5755
NPI assigned
Jul 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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 MA00015066 WA Primary

Addresses

Primary practice location

9328 271St St NW Ste a
Stanwood, WA 98292-8072

Mailing address

3755 S Camano Dr
Camano Island, WA 98282-8285
Phone (425) 802-5755

Other identifiers 1

IdentifierTypeStateIssuer
MA00015066OtherWASTATE MASSAGE PRACTITIONE

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
MA00015066WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1104026715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 S CAMANO DR",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982828285",
            "telephone_number": "425-802-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9328 271ST ST NW STE A",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928072",
            "telephone_number": "425-802-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLER",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-21",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MASSAGE PRACTITIONE",
            "identifier": "MA00015066",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.