Individual provider Active NPI

Andromeda Ravenna Montes, LMT

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1174707269
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00022007 Issued in WA
Practice address
1916 23Rd Ave S Ste B
Seattle, WA 98144-4616
Phone
(206) 362-3344
NPI assigned
Dec 26, 2007
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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 MA00022007 WA Primary

Addresses

Primary practice location

1916 23Rd Ave S Ste B
Seattle, WA 98144-4616

Mailing address

1916 23Rd Ave S Ste B
Seattle, WA 98144-4616
Phone (206) 362-3344

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
MA00022007WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Chiropractic Center PLLC CurrentSince Mar 24, 2025 Accepting new patients
Monroe Therapeutic Massage PS Massage Therapist Past Accepting new patients
Accident and Injury Care, PS Massage Therapist PastSince Oct 2, 2022 Accepting new patients

Locations

1428 Auburn Way S
Auburn, WA 98002
Phone (253) 833-3990

Organizations & group practices 3

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": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1174707269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 23RD AVE S STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444616",
            "telephone_number": "206-362-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 23RD AVE S STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444616",
            "telephone_number": "206-362-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES",
        "first_name": "ANDROMEDA",
        "middle_name": "RAVENNA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00022007",
            "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 May 8, 2026; 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.