NPIMap

Organization Active NPI

Susan Rosen & Associates, PLLC

  • Massage Therapist
  • Olympia, WA
National Provider Identifier
1194860403
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00000648 Issued in WA
Legal business name
SUSAN ROSEN & ASSOCIATES, PLLC
Practice address
3912 Martin Way E
Suite B
Olympia, WA 98506-9624
Phone
(360) 459-9780
Fax
(360) 412-0581
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan Beth Rosen, LMPNPI 1831755917
Title
Member
Phone
(360) 459-9780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00000648 WA Primary

Addresses

Primary practice location

3912 Martin Way E
Suite B
Olympia, WA 98506-9624

Mailing address

3912 Martin Way E
Suite B
Olympia, WA 98506-9624
Phone (360) 459-9780

National Provider Directory

National Provider Directory

Locations

3912 Martin Way E
#B
Olympia, WA 98506
Phone (360) 459-9780

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194860403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 MARTIN WAY E",
            "address_2": "SUITE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985069624",
            "telephone_number": "360-459-9780",
            "fax_number": "360-412-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 MARTIN WAY E",
            "address_2": "SUITE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985069624",
            "telephone_number": "360-459-9780",
            "fax_number": "360-412-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN ROSEN & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-459-9780",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00000648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.