Active NPI
Chris Officer, LMP
- Massage Therapist
- Monroe, WA
National Provider Identifier
1124435938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60364745
- Practice address
- 101 E Main St
#201
Monroe, WA 98272-1519 - Phone
- (360) 863-0642
- Fax
- (360) 794-7236
- NPI assigned
- Jul 14, 2014
- Sex
- Male
- Sole proprietor
- No
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 | MA 60364745 | WA | Primary |
Addresses
Primary practice location
101 E Main St
#201
Monroe, WA 98272-1519
Mailing address
9219 34TH Ave SW
Seattle, WA 98126-3805
Phone (360) 204-1057
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 |
|---|---|---|---|
| MA 60364745 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1124435938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9219 34TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263805",
"telephone_number": "360-204-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E MAIN ST",
"address_2": "#201",
"city": "MONROE",
"state": "WA",
"postal_code": "982721519",
"telephone_number": "360-863-0642",
"fax_number": "360-794-7236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFFICER",
"first_name": "CHRIS",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-14",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60364745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.