NPIMap

Organization Active NPI

Dreamclinic LLC

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1104969054
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60021860 Issued in WA
Legal business name
DREAMCLINIC LLC
Practice address
902 NE 65TH St
Seattle, WA 98115-5562
Phone
(206) 267-0863
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Larisa Goldin
Title
LMP
Phone
(206) 267-0863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA60021860 WA Primary

Addresses

Primary practice location

902 NE 65TH St
Seattle, WA 98115-5562

Mailing address

902 NE 65TH St
Seattle, WA 98115-5562

National Provider Directory

National Provider Directory
Tax ID family
Dream Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104969054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155562",
            "telephone_number": "206-267-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMCLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDIN",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "LMP",
        "authorized_official_telephone_number": "206-267-0863",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60021860",
            "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 Aug 22, 2020; 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.