Individual provider Active NPI

Janet M Stankatis

  • Massage Therapist
  • Puyallup, WA
National Provider Identifier
1174159180
Registry record updated Mar 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61045309 Issued in WA
Practice address
10614 Canyon Rd E
Puyallup, WA 98373-4257
Phone
(253) 535-6006
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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 MA61045309 WA Primary

Addresses

Primary practice location

10614 Canyon Rd E
Puyallup, WA 98373-4257

Mailing address

27019 122ND Ave E
Graham, WA 98338-7469
Phone (603) 504-2789

Other practice location 1

27019 122nd Ave E
Graham, WA 98338-7469
Phone (603) 504-2789 ext. 60350

Other identifiers 1

IdentifierTypeStateIssuer
MA61045309OtherWALICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@rody-massage.com Direct

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
MA61045309WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rody Chiropractic Clinic Inc. CurrentSince Mar 29, 2020 Accepting new patients
Rody Chiropractic LLC Massage Therapist PastSince Mar 29, 2020 Accepting new patients

Locations

10614 Canyon Rd E
Puyallup, WA 98373
Phone (253) 302-4817

Organizations & group practices 2

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": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1174159180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27019 122ND AVE E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983387469",
            "telephone_number": "603-504-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10614 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734257",
            "telephone_number": "253-535-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27019 122nd Ave E",
            "address_purpose": "LOCATION",
            "city": "Graham",
            "state": "WA",
            "postal_code": "983387469",
            "country_code": "US",
            "telephone_number": "603-504-2789 x60350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANKATIS",
        "first_name": "JANET",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61045309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MA61045309",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@rody-massage.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10614 Canyon Rd E",
            "city": "Puyallup",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983734257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.