Individual provider Active NPI

Maureen Elizabeth Kelley, LMP

  • Massage Therapist
  • Gig Harbor, WA
National Provider Identifier
1144520495
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60026348 Issued in WA
Practice address
3715 56TH St NW
Gig Harbor, WA 98335-8240
Phone
(253) 851-5138
Fax
(253) 853-4972
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60026348 WA Primary

Addresses

Primary practice location

3715 56TH St NW
Gig Harbor, WA 98335-8240

Mailing address

3715 56TH St NW
Gig Harbor, WA 98335-8240
Phone (253) 851-5138

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
MA60026348WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Chiropractic Wellness Center PS PastSince Aug 15, 2008 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1144520495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 56TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358240",
            "telephone_number": "253-851-5138",
            "fax_number": "253-853-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 56TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358240",
            "telephone_number": "253-851-5138",
            "fax_number": "253-853-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MAUREEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60026348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.