Individual provider Active NPI

Jodi L Samson, LMT

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1225786445
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61247225 Issued in WA
Practice address
2301 Elm St
Bellingham, WA 98225-2845
Phone
(360) 752-9595
Fax
(360) 752-1975
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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 MA61247225 WA Primary

Addresses

Primary practice location

2301 Elm St
Bellingham, WA 98225-2845

Mailing address

2301 Elm St
Bellingham, WA 98225-2845
Phone (360) 752-9595

Other identifiers 1

IdentifierTypeStateIssuer
MA61247225OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cascadiacenterformassage.com Direct

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
MA61247225WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascadia Massage and Wellness Massage Therapist CurrentSince Dec 13, 2022 Accepting new patients
Cascadia Center for Massage Massage Therapist PastSince Mar 20, 2022 Accepting new patients

Locations

2301 Elm St
Bellingham, WA 98225
Phone (360) 220-8829

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1225786445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ELM ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252845",
            "telephone_number": "360-752-9595",
            "fax_number": "360-752-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ELM ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252845",
            "telephone_number": "360-752-9595",
            "fax_number": "360-752-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "JODI",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61247225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH LICENSE",
            "identifier": "MA61247225",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cascadiacenterformassage.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2301 Elm St",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982252845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.