Active NPI
Chad Markham
- Massage Therapist
- Silverdale, WA
National Provider Identifier
1164768677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60308813
- Practice address
- 3888 NW Randall Way
Suite 102
Silverdale, WA 98383-7847 - Phone
- (360) 731-8665
- NPI assigned
- Jan 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 60308813 | WA | Primary |
Addresses
Primary practice location
3888 NW Randall Way
Suite 102
Silverdale, WA 98383-7847
Mailing address
6230 NE Blakewood CT
Kingston, WA 98346-9574
Phone (425) 328-5409
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60308813 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1164768677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6230 NE BLAKEWOOD CT",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983469574",
"telephone_number": "425-328-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3888 NW RANDALL WAY",
"address_2": "SUITE 102",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837847",
"telephone_number": "360-731-8665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKHAM",
"first_name": "CHAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-02",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60308813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.