Individual provider Active NPI

Jordan Parrick, L.M.P

  • Massage Therapist
  • Issaquah, WA
National Provider Identifier
1144626722
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60424401 Issued in WA
Practice address
670 NW Gilman Blvd
B2
Issaquah, WA 98027-2444
Phone
(425) 427-6562
Fax
(425) 391-2760
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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 MA60424401 WA Primary

Addresses

Primary practice location

670 NW Gilman Blvd
B2
Issaquah, WA 98027-2444

Mailing address

2636 259TH CT SE
B2
Issaquah, WA 98075-7923
Phone (425) 677-5060

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
MA60424401WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seahurst Chiropractic Clinic Inc. Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1144626722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 259TH CT SE",
            "address_2": "B2",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980757923",
            "telephone_number": "425-677-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 NW GILMAN BLVD",
            "address_2": "B2",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272444",
            "telephone_number": "425-427-6562",
            "fax_number": "425-391-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRICK",
        "first_name": "JORDAN",
        "credential": "L.M.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60424401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.