Active NPI
Roy Alan Vermillion, L.M.P.
- Massage Therapist
- Seattle, WA
National Provider Identifier
1235469040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60069631
- Practice address
- 2119 17TH Ave S
Seattle, WA 98144-4313 - Phone
- (206) 819-9664
- NPI assigned
- Dec 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 60069631 | WA | Primary |
Addresses
Primary practice location
2119 17TH Ave S
Seattle, WA 98144-4313
Mailing address
4715 S Hudson St
Seattle, WA 98118-2076
Phone (206) 819-9664
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 |
|---|---|---|---|
| MA 60069631 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Is for Massage, PLLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Seattle, WA
- NPI 1851627699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1235469040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 S HUDSON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981182076",
"telephone_number": "206-819-9664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 17TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981444313",
"telephone_number": "206-819-9664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMILLION",
"first_name": "ROY",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "L.M.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-30",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60069631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.