Individual provider Active NPI

Cathryn G Bangs, LMP

  • Massage Therapist
  • Port Orchard, WA
National Provider Identifier
1215198635
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00025115 Issued in WA
Practice address
450 Port Orchard Blvd Ste 300
Port Orchard, WA 98366-4705
Phone
(360) 895-2224
NPI assigned
Jun 18, 2008
Last updated
Dec 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00025115 WA Primary

Addresses

Primary practice location

450 Port Orchard Blvd Ste 300
Port Orchard, WA 98366-4705

Mailing address

450 Port Orchard Blvd Ste 300
Port Orchard, WA 98366-4705
Phone (360) 895-2224

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
MA00025115WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1215198635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PORT ORCHARD BLVD STE 300",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664705",
            "telephone_number": "360-895-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PORT ORCHARD BLVD STE 300",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664705",
            "telephone_number": "360-895-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGS",
        "first_name": "CATHRYN",
        "middle_name": "G",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00025115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.