NPIMap

Organization Active NPI

Century Massage & Bodywork, Inc

  • Specialist
  • Renton, WA
National Provider Identifier
1205004777
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00012942 Issued in WA
Legal business name
CENTURY MASSAGE & BODYWORK, INC
Practice address
15 S Grady Way
Suite LL25
Renton, WA 98057-3220
Phone
(425) 228-5217
Fax
(425) 271-4189
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Miss Lyn Frigillana Yancha, LMPNPI 1164969580
Title
Owner
Phone
(425) 228-5217

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
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MA00012942 WA Primary

Addresses

Primary practice location

15 S Grady Way
Suite LL25
Renton, WA 98057-3220

Mailing address

15 S Grady Way
Suite LL25
Renton, WA 98057-3220
Phone (425) 228-5217

Other identifiers 2

IdentifierTypeStateIssuer
54-0196702OtherWAWA STATE DEPT OF L&I
620389900OtherWAACS PROVIDER NUMBER / OWCP

Other names 1

  • Century Massage Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1205004777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S GRADY WAY",
            "address_2": "SUITE LL25",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573220",
            "telephone_number": "425-228-5217",
            "fax_number": "425-271-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S GRADY WAY",
            "address_2": "SUITE LL25",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573220",
            "telephone_number": "425-228-5217",
            "fax_number": "425-271-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY MASSAGE & BODYWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "YANCHA",
        "authorized_official_first_name": "LYN",
        "authorized_official_middle_name": "FRIGILLANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-228-5217",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00012942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DEPT OF L&I",
            "identifier": "54-0196702",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS PROVIDER NUMBER / OWCP",
            "identifier": "620389900",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Massage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.