Individual provider Active NPI

Amanda Saunders, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1144454588
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00018567 Issued in WA
Practice address
14511 NE 10TH Ave Ste F
Vancouver, WA 98685-1386
Phone
(360) 713-3118
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA 00018567 WA
Massage Therapist 225700000X MA00018567 WA Primary

Addresses

Primary practice location

14511 NE 10TH Ave Ste F
Vancouver, WA 98685-1386

Mailing address

2615 NE 3Rd Ave Apt 104
Camas, WA 98607-1751
Phone (360) 713-3118

Other practice location 1

16500 SE 15th St
Suite 160
Vancouver, WA 98683-9665
Phone (360) 713-3118

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
MA 00018567WAMDMechanotherapist
MA00018567WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1144454588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 NE 3RD AVE APT 104",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986071751",
            "telephone_number": "360-713-3118",
            "fax_number": "360-718-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14511 NE 10TH AVE STE F",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986851386",
            "telephone_number": "360-713-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16500 SE 15th St",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986839665",
            "country_code": "US",
            "telephone_number": "360-713-3118",
            "fax_number": "360-718-7931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "AMANDA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA 00018567",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.