NPIMap

Organization Active NPI

Moon Rock Massage

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1144542523
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00023788 Issued in WA
Legal business name
MOON ROCK MASSAGE
Practice address
340 15TH Ave E Ste 309
Seattle, WA 98112-5156
Phone
(206) 218-7325
Fax
(206) 855-5295
NPI assigned
Feb 25, 2010
Last updated
Feb 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Rebecca L O'Connor, LMPNPI 1316073687
Title
Owner
Phone
(206) 218-7325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00023788 WA Primary

Addresses

Primary practice location

340 15TH Ave E Ste 309
Seattle, WA 98112-5156

Mailing address

340 15TH Ave E Ste 309
Seattle, WA 98112-5156
Phone (206) 218-7325

National Provider Directory

National Provider Directory

Locations

340 15th Ave E
Ste 309
Seattle, WA 98112
Phone (206) 218-7325

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1144542523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 15TH AVE E STE 309",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125156",
            "telephone_number": "206-218-7325",
            "fax_number": "206-855-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 15TH AVE E STE 309",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125156",
            "telephone_number": "206-218-7325",
            "fax_number": "206-855-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON ROCK MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-218-7325",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023788",
            "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 Feb 25, 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.