Individual provider Active NPI

Marian Diperna, LMT

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1154601185
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60235348 Issued in WA
Practice address
3727 California Ave SW Ste 2a
Seattle, WA 98116-4303
Phone
(206) 605-5115
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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 60235348 WA Primary

Addresses

Primary practice location

3727 California Ave SW Ste 2a
Seattle, WA 98116-4303

Mailing address

3814 53Rd Ave SW
Seattle, WA 98116-3623
Phone (206) 605-5115

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
60235348WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Massage Therapy, PLLC Massage Therapist CurrentSince Dec 1, 2019 Accepting new patients

Locations

3727 California Ave SW
Ste 2A
Seattle, WA 98116
Phone (206) 605-5115

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1154601185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 53RD AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163623",
            "telephone_number": "206-605-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 CALIFORNIA AVE SW STE 2A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164303",
            "telephone_number": "206-605-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPERNA",
        "first_name": "MARIAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60235348",
            "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 Mar 6, 2020; 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.