Garrett Reece Maxwell, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60774889 Issued in WA

Practice address

313 E. Woodin Ave
Chelan, WA 98816

Phone

(509) 888-9989

Fax

(509) 888-9592

NPI assigned

Mar 21, 2018

Last updated

Mar 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bellamia Massage

  • Massage Therapist
  • Chelan, WA
  • NPI 1720530637
  NPD (past)

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1104320548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2836",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988162836",
            "telephone_number": "509-888-9989",
            "fax_number": "509-888-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E. WOODIN AVE",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "98816",
            "telephone_number": "509-888-9989",
            "fax_number": "509-888-9592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Wenatchee Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012239",
            "country_code": "US",
            "telephone_number": "509-888-9989",
            "fax_number": "509-888-9592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "GARRETT",
        "middle_name": "REECE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60774889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Chelan, WA
• Providers in Chelan, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.