Individual provider Active NPI

Jennifer Lynn Tussing, LMP

  • Mechanotherapist
  • Seattle, WA
National Provider Identifier
1134488307
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA60137339 Issued in WA
Practice address
1621 California Ave SW
Apt 5
Seattle, WA 98116-1685
Phone
(206) 932-5520
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA60137339 WA Primary

Addresses

Primary practice location

1621 California Ave SW
Apt 5
Seattle, WA 98116-1685

Mailing address

1621 California Ave SW
Apt 5
Seattle, WA 98116-1685
Phone (206) 932-5520

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

LicenseStateTypeSpecialty
MA60137339WAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1134488307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 CALIFORNIA AVE SW",
            "address_2": "APT 5",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981161685",
            "telephone_number": "206-932-5520",
            "fax_number": "206-932-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 CALIFORNIA AVE SW",
            "address_2": "APT 5",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981161685",
            "telephone_number": "206-932-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSSING",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60137339",
            "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 May 9, 2012; 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.