Candice Ross, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60685941 Issued in WA

Practice address

13353 Bel Red Rd
Suite 103
Bellevue, WA 98005-2329

Phone

(425) 679-5996

Fax

(425) 968-7590

NPI assigned

Sep 21, 2016

Last updated

Sep 21, 2016By the provider in NPPES

Sex

Female

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.

• Epic PT Health & Performance LLC

  dba Epic Physical Therapy

  • Physical Therapist
  • Tacoma, WA
  • NPI 1407282734
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1114475928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13353 BEL RED RD",
            "address_2": "SUITE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052329",
            "telephone_number": "425-679-5996",
            "fax_number": "425-968-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13353 BEL RED RD",
            "address_2": "SUITE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052329",
            "telephone_number": "425-679-5996",
            "fax_number": "425-968-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CANDICE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60685941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reuben Rosenblatt
• Audrey Kim Rosenfeld, LICSW
• Michael Rosengrant, LMP
• James F. Rosenwald, DDS
• Judith Ann Rosevear, M.S.,OTR/L
• Rudolf Ross
• Stephanie Ross
• Susan Ross, MSW
• Audrey R Rostov, MD
• Michelle Lauren Rotberg, BSN, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.