Organization Active NPI

Acclaim Body Care, LLC

  • Massage Therapist
  • Shoreline, WA
National Provider Identifier
1205069333
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
602924167 Issued in WA
Legal business name
ACCLAIM BODY CARE, LLC
Practice address
17517 15TH Ave.
Suite B
Shoreline, WA 98155
Phone
(206) 715-1318
Fax
(206) 402-6548
NPI assigned
Aug 24, 2009
Last updated
Aug 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Miss Caroline Acosta-Drake, L.M.P.C.
Title
Owner/Member
Phone
(206) 715-1318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 602924167 WA Primary

Addresses

Primary practice location

17517 15TH Ave.
Suite B
Shoreline, WA 98155

Mailing address

P.O.Box 33185
Shoreline, WA 98133
Phone (206) 715-1318

National Provider Directory

National Provider Directory

Locations

17517 15th Ave NE
Ste B
Shoreline, WA 98155
Phone (206) 715-1318

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1205069333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 33185",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "98133",
            "telephone_number": "206-715-1318",
            "fax_number": "206-402-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17517 15TH AVE.",
            "address_2": "SUITE B",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "98155",
            "telephone_number": "206-715-1318",
            "fax_number": "206-402-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCLAIM BODY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "ACOSTA-DRAKE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "206-715-1318",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "L.M.P.C."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "602924167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.