Heidi Grace Stockbauer, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60953289 Issued in WA

Practice address

603 Hunt Ave
Sumner, WA 98390-1117

Phone

(253) 863-0855

NPI assigned

Mar 2, 2020

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Lifeguardgroup

  • Case Manager/Care Coordinator
  • Missoula, MT
  • NPI 1376411157
  NPD Authorized official
• Movement Chiropractic and Massage, LLC

  dba Riverside Chiropractic Center

  • Chiropractor
  • Sumner, WA
  • NPI 1659919249

  Single Specialty

  NPD

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1225662984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 HUNT AVE",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901117",
            "telephone_number": "253-863-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HUNT AVE",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901117",
            "telephone_number": "253-863-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKBAUER",
        "first_name": "HEIDI",
        "middle_name": "GRACE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60953289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Associates Western Washington LLC (Sound Associates)
• Sound Balance Physical Therapy
• Sound Sleep Solutions, LLC (Sound Sleep Solutions)
• Rachael C Spencer, LMP
• Spirit of Healing
• Joanne Susan Streeck, OTR/L
• Aidan Tan Strein, PT
• Sumner Family Eyecare P.L.L.C.
• Sumner School District
• Sumner Smiles Dentistry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.