Active NPI
Jennifer Sosa-Soria, LMT
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1194315614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 26008
- Practice address
- 3021 NE 72ND Dr Ste 5
Vancouver, WA 98661-7300 - Phone
- (360) 869-0212
- Fax
- (360) 260-4849
- NPI assigned
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 26008 | OR | Primary |
Addresses
Primary practice location
3021 NE 72ND Dr Ste 5
Vancouver, WA 98661-7300
Mailing address
2112 NE 86TH Ave
Vancouver, WA 98664-1029
Phone (360) 843-7252
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26008 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1194315614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 NE 86TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641029",
"telephone_number": "360-843-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 NE 72ND DR STE 5",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617300",
"telephone_number": "360-869-0212",
"fax_number": "360-260-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSA-SORIA",
"first_name": "JENNIFER",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "26008",
"primary": true
}
],
"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 Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.