Jeffrey James Massart

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60351268 Issued in WA

Practice address

203 S Western Ave
Tonasket, WA 98855-8803

Phone

(509) 486-2784

NPI assigned

May 24, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1134867716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S. WESTERN AVE",
            "address_2": "C/O: CREDENTIALING",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "98855",
            "telephone_number": "509-486-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WESTERN AVE",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988558803",
            "telephone_number": "509-486-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSART",
        "first_name": "JEFFREY",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60351268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003997",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Anthony Lacey, MD
• Darra Large, RN
• Long Term Care Division of Ocphd 4
• Sarah Marie Long
• Franco Lopez III, RD
• Richard Massey
• Rachael T McDougall, PSY.D.
• Anthony James Musielewicz, M.D.
• Teresa Ellen Myers, FNP
• Laurel Anne Naman, ARNP

• Physical Therapist in Tonasket, WA
• Providers in Tonasket, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.