Active NPI
Ngametua Varu Coover, LMT
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1104539634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61323063
- Practice address
- 9120 NE Vancouver Mall Loop Ste 120
Vancouver, WA 98662-6354 - Phone
- (564) 219-5321
- NPI assigned
- Dec 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61323063 | WA | Primary |
Addresses
Primary practice location
9120 NE Vancouver Mall Loop Ste 120
Vancouver, WA 98662-6354
Mailing address
11800 NE 124TH Ave Apt D48
Vancouver, WA 98682-1603
Phone (503) 915-2619
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA61323063 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1104539634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11800 NE 124TH AVE APT D48",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986821603",
"telephone_number": "503-915-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9120 NE VANCOUVER MALL LOOP STE 120",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626354",
"telephone_number": "564-219-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOVER",
"first_name": "NGAMETUA",
"middle_name": "VARU",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-29",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61323063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.