Individual provider Active NPI

James L. Bartlett, L.M.P.

  • Massage Therapist
  • Olympia, WA
National Provider Identifier
1215050620
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00013560 Issued in WA
Practice address
1804 Black Lake Blvd SW
Olympia, WA 98512
Phone
(360) 943-2200
Fax
(206) 339-6180
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MA00013560 WA
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00013560 WA Primary

Addresses

Primary practice location

1804 Black Lake Blvd SW
Olympia, WA 98512

Mailing address

1804 Black Lake Blvd SW
Olympia, WA 98512-5633
Phone (360) 943-2200

Other practice location 1

507 DeVoe St SE
Olympia, WA 98501-2016
Phone (360) 943-2200

Other practice location 2

1804 Black Lake Blvd SW
Olympia, WA 98512
Phone (360) 943-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://pm.officeally.com/pm/Desktop/Summary.aspx?Tab=D

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

LicenseStateTypeSpecialty
MA00013560WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1215050620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 BLACK LAKE BLVD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125633",
            "telephone_number": "360-943-2200",
            "fax_number": "206-339-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 BLACK LAKE BLVD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98512",
            "telephone_number": "360-943-2200",
            "fax_number": "206-339-6180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 DeVoe St SE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985012016",
            "country_code": "US",
            "telephone_number": "360-943-2200",
            "fax_number": "206-339-6180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1804 Black Lake Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "98512",
            "country_code": "US",
            "telephone_number": "360-943-2200",
            "fax_number": "206-339-6180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "JAMES",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WA",
            "license": "MA00013560",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://pm.officeally.com/pm/Desktop/Summary.aspx?Tab=D",
            "affiliation": "N",
            "address_1": "1804 Black Lake Blvd SW",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 14, 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.

Verify at the official NPI Registry.