Individual provider Active NPI

Wendy Ellen Van Den Bijgaart, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1104232735
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60468013 Issued in WA
Practice address
1138 NW Market St
Seattle, WA 98107-3710
Phone
(206) 783-0404
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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 MA60468013 WA Primary

Addresses

Primary practice location

1138 NW Market St
Seattle, WA 98107-3710

Mailing address

855 W Nickerson St
Apt 7
Seattle, WA 98119-1432
Phone (206) 226-1123

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
MA60468013WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ballard Health Center Past Accepting new patients
Uw Medicine Northwest Physicians Past Accepting new patients

Organizations & group practices 2

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1104232735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W NICKERSON ST",
            "address_2": "APT 7",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981191432",
            "telephone_number": "206-226-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 NW MARKET ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073710",
            "telephone_number": "206-783-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DEN BIJGAART",
        "first_name": "WENDY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60468013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.