Individual provider Active NPI

Angelica Marisa Sager, MA61071189

  • Massage Therapist
  • Yakima, WA
National Provider Identifier
1194336321
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61071189 Issued in WA
Practice address
2405 W Washington Ave Ste 140
Yakima, WA 98903-2518
Phone
(509) 902-1222
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA61071189 WA Primary

Addresses

Primary practice location

2405 W Washington Ave Ste 140
Yakima, WA 98903-2518

Mailing address

1107 Dazet Rd
Yakima, WA 98908-9672
Phone (509) 985-4669

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
MA61071189WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Chiropractic Yakima LLC Single Specialty CurrentSince Aug 23, 2020 Accepting new patients

Locations

2405 W Washington Ave
Ste 140
Yakima, WA 98903
Phone (509) 902-1222

Organizations & group practices 1

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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1194336321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 DAZET RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989089672",
            "telephone_number": "509-985-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 W WASHINGTON AVE STE 140",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989032518",
            "telephone_number": "509-902-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGER",
        "first_name": "ANGELICA",
        "middle_name": "MARISA",
        "credential": "MA61071189",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61071189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.