Organization Active NPI

Olympic Racquet and Health

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1194931139
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
OLYMPIC RACQUET AND HEALTH
Practice address
5301 Leary Ave NW
Seattle, WA 98107-4824
Phone
(206) 789-5010
Fax
(206) 781-3303
NPI assigned
May 15, 2007
Last updated
Aug 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Mrs. Gloria Villanueva
Title
Controller
Phone
(206) 789-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X WA Primary

Addresses

Primary practice location

5301 Leary Ave NW
Seattle, WA 98107-4824

Mailing address

5301 Leary Ave NW
Seattle, WA 98107-4824
Phone (206) 789-5010

National Provider Directory

National Provider Directory

Locations

5301 Leary Ave NW
Seattle, WA 98107
Phone (206) 456-3799

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1194931139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LEARY AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074824",
            "telephone_number": "206-789-5010",
            "fax_number": "206-781-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LEARY AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074824",
            "telephone_number": "206-789-5010",
            "fax_number": "206-781-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC RACQUET AND HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "206-789-5010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.