Joy Michelle Derriso, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60617275 Issued in WA

Practice address

4040 Orchard St W
Suite 100
Fircrest, WA 98466-6606

Phone

(253) 564-1560

Fax

(253) 564-4449

NPI assigned

Apr 25, 2007

Last updated

Apr 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1215156161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ORCHARD ST W",
            "address_2": "SUITE 100",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666606",
            "telephone_number": "253-564-1560",
            "fax_number": "253-564-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 ORCHARD ST W",
            "address_2": "SUITE 100",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666606",
            "telephone_number": "253-564-1560",
            "fax_number": "253-564-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRISO",
        "first_name": "JOY",
        "middle_name": "MICHELLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60617275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Crystal Crane, CNM
• Darren Wenz
• Bruce Gerard Davies, M.D.
• Paul E Debusschere, M.D.
• Alexander Miles Dermody, DC
• Gail Diprete, ATC
• Sydney Leigh Doherty, LICSW
• DT Smith Healthgroup PLLC (Family Chiropractic Center P.S.)
• Kelly Ebels, LMHCA
• Emerson Dental Inc PC (Emerson Dental)

• Massage Therapist in Fircrest, WA
• Providers in Fircrest, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.