Active NPI
Antonio Carranza
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1134686751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60443157
- Practice address
- 410 Bellevue Way SE Ste 202
Bellevue, WA 98004-6649 - Phone
- (425) 378-1800
- NPI assigned
- Mar 1, 2019
- Sex
- Male
- 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 | MA60443157 | WA | Primary |
Addresses
Primary practice location
410 Bellevue Way SE Ste 202
Bellevue, WA 98004-6649
Mailing address
410 Bellevue Way SE Ste 202
Bellevue, WA 98004-6649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60443157 | Other | WA | MASSAGE THERAPIST LICENSE |
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60443157 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1134686751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 BELLEVUE WAY SE STE 202",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 BELLEVUE WAY SE STE 202",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046649",
"telephone_number": "425-378-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRANZA",
"first_name": "ANTONIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-01",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60443157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST LICENSE",
"identifier": "MA60443157",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.