Individual provider Active NPI

Bethany Kay Lewis-Spady, LMP, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1164849840
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60369935 Issued in WA
Practice address
108 W 33Rd St
Vancouver, WA 98660-1902
Phone
(503) 593-2430
NPI assigned
Mar 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 60369935 WA Primary
Massage Therapist 225700000X 20493 OR

Addresses

Primary practice location

108 W 33Rd St
Vancouver, WA 98660-1902

Mailing address

108 W 33Rd St
Vancouver, WA 98660-1902
Phone (503) 593-2430

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
20493ORMDMassage Therapist
MA 60369935WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1164849840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W 33RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986601902",
            "telephone_number": "503-593-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W 33RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986601902",
            "telephone_number": "503-593-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-SPADY",
        "first_name": "BETHANY",
        "middle_name": "KAY",
        "credential": "LMP, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60369935",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.