Kimberly Koontz, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60140830 Issued in WA

Practice address

410 Bellevue Way SE Ste 202
Bellevue, WA 98004-6649

Phone

(425) 378-1800

Fax

(425) 462-1802

NPI assigned

Aug 1, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184148066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BELLEVUE WAY SE STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046649",
            "telephone_number": "425-378-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BELLEVUE WAY SE STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046649",
            "telephone_number": "425-378-1800",
            "fax_number": "425-462-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "KIMBERLY",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60140830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Koo, D.O.
• Shabnam Koohpai
• Sheryl E. Kool, MA
• Peter Wing Fung Koon, MD
• Raymon Kooner, DC
• Matthew Glen Koontz, RD
• Jonathan Chaim Kopelovich, M.D.
• Michael Koplowitz, PAC
• Kay M. Kopp, OTR
• Kor PT, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.