NPIMap

Organization Active NPI

Soma Therapeutics,PLLC

  • Massage Therapist
  • Issaquah, WA
National Provider Identifier
1235486671
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60214051 Issued in WA
Legal business name
SOMA THERAPEUTICS,PLLC
Practice address
1795 27TH LN NE
Issaquah, WA 98029-3653
Phone
(425) 427-9006
NPI assigned
Aug 3, 2012
Last updated
Aug 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Kimberly BreshearsNPI 1033464417
Title
Co-Founder
Phone
(213) 200-2934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60215476 WA
Massage Therapist 225700000X MA60214051 WA Primary

Addresses

Primary practice location

1795 27TH LN NE
Issaquah, WA 98029-3653

Mailing address

PO Box 1644
Issaquah, WA 98027-0066

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1235486671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1644",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980270066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 27TH LN NE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980293653",
            "telephone_number": "425-427-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA THERAPEUTICS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "BRESHEARS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "213-200-2934"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60215476",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60214051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.