Active NPI
Jennifer Jane Todd, LMP, R. T. (R)(ARRT)
- Massage Therapist
- Lynnwood, WA
National Provider Identifier
1225375686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60280963
- Practice address
- 17905 8TH PL W
Lynnwood, WA 98037-8257 - Phone
- (206) 618-5732
- NPI assigned
- Jan 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | RA60802731 | WA | |
| Massage Therapist | 225700000X | 60280963 | WA | Primary |
Addresses
Primary practice location
17905 8TH PL W
Lynnwood, WA 98037-8257
Mailing address
17905 8TH PL W
Lynnwood, WA 98037-8257
Phone (206) 618-5732
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60280963 | WA | MD | Massage Therapist |
| RA60802731 | WA | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1225375686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17905 8TH PL W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980378257",
"telephone_number": "206-618-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17905 8TH PL W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980378257",
"telephone_number": "206-618-5732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "JENNIFER",
"middle_name": "JANE",
"credential": "LMP, R. T. (R)(ARRT)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-04",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "WA",
"license": "RA60802731",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60280963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.