Individual provider Active NPI

Amanda Rachel Baker, LMP

  • Massage Therapist
  • Edmonds, WA
National Provider Identifier
1104179902
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60205706 Issued in WA
Practice address
22727 Highway 99 Ste 205
Edmonds, WA 98026-8381
Phone
(425) 533-7913
NPI assigned
Oct 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 MA60205706 WA Primary

Addresses

Primary practice location

22727 Highway 99 Ste 205
Edmonds, WA 98026-8381

Mailing address

5718 171St Ave SE
Snohomish, WA 98290-9371
Phone (425) 533-7913

Other practice location 1

15730 116th Ave NE Unit 112B
Bothell, WA 98011-4184
Phone (425) 219-7355

Other identifiers 1

IdentifierTypeStateIssuer
1992475305OtherWANPI

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
MA60205706WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Effects Wellness P.L.L.C. Massage Therapist Current Accepting new patients

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": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1104179902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 171ST AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982909371",
            "telephone_number": "425-533-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22727 HIGHWAY 99 STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268381",
            "telephone_number": "425-533-7913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15730 116th Ave NE Unit 112B",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980114184",
            "country_code": "US",
            "telephone_number": "425-219-7355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "AMANDA",
        "middle_name": "RACHEL",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60205706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992475305",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.