Emily Vidlak

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60040241 Issued in WA

Practice address

1525 4TH Ave
Seattle, WA 98101-1607

Phone

(206) 624-1370

NPI assigned

Oct 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ummelina International, LLC

  • Massage Therapist
  • Seattle, WA
  • NPI 1770826497
  NPD (past)

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1174994339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 4TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011607",
            "telephone_number": "206-624-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 4TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011607",
            "telephone_number": "206-624-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDLAK",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60040241",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT113431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria H. Chaudhry, Inc., P.S.
• Joseph Mangunary Victorio, MOT / OTR / L
• Michael Vidal
• Elizabeth Vidas, ARNP
• Lila Milica Vidger, PHD
• Manuel Vidrios, DDS
• Heidi Maria Vieira
• Lauren Viemann, MA, MHP
• Stephanie Hoang Yen Vien, PHARMD
• Heather Ellen Viereck

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.