Active NPI
Rebecca C Lavin, LMT
- Massage Therapist
- Redmond, WA
National Provider Identifier
1194835553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00015720
- Practice address
- 10733 221St LN NE Ste a
Redmond, WA 98053 - Phone
- (206) 271-0622
- Fax
- (206) 319-4450
- NPI assigned
- Aug 30, 2006
- Last updated
- Nov 4, 2019
- 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 | MA00015720 | WA | Primary |
Addresses
Primary practice location
10733 221St LN NE Ste a
Redmond, WA 98053
Mailing address
10733 221St LN NE Ste a
Redmond, WA 98053-2002
Phone (206) 271-0622
Other practice location 1
22500 NE Marketplace Dr
Suite 204
Redmond, WA 98053-2033
Phone (425) 836-1034
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8942480 | Other | WA | L&I CRIME VICTIMS |
| 0232274 | Other | WA | LABOR & INDUSTRIES |
| 2500LA | Other | WA | REGENCE BLUE SHIELD |
| 0212515 | Other | WA | DEPT. OF LABOR & INDUSTRY |
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 |
|---|---|---|---|
| MA00015720 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1194835553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10733 221ST LN NE STE A",
"city": "REDMOND",
"state": "WA",
"postal_code": "980532002",
"telephone_number": "206-271-0622",
"fax_number": "206-319-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10733 221ST LN NE STE A",
"city": "REDMOND",
"state": "WA",
"postal_code": "98053",
"telephone_number": "206-271-0622",
"fax_number": "206-319-4450"
}
],
"practiceLocations": [
{
"address_1": "22500 NE Marketplace Dr",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "WA",
"postal_code": "980532033",
"country_code": "US",
"telephone_number": "425-836-1034",
"fax_number": "425-836-1037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAVIN",
"first_name": "REBECCA",
"middle_name": "C",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00015720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8942480",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0232274",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "2500LA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR & INDUSTRY",
"identifier": "0212515",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.