Organization Active NPI

Lakeside Massage Therapy, PLLC

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1245078278
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LAKESIDE MASSAGE THERAPY, PLLC
Practice address
801 Samish Way Ste 204
Bellingham, WA 98229-2940
Phone
(360) 441-8342
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Rosanna Johnson, LMTNPI 1366770414
Title
Owner
Phone
(360) 441-8342

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

801 Samish Way Ste 204
Bellingham, WA 98229-2940

Mailing address

801 Samish Way Ste 204
Bellingham, WA 98229-2940
Phone (360) 441-8342

National Provider Directory

National Provider Directory

Locations

801 Samish Way
Ste 204
Bellingham, WA 98229
Phone (360) 441-8342

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1245078278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SAMISH WAY STE 204",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292940",
            "telephone_number": "360-441-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SAMISH WAY STE 204",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292940",
            "telephone_number": "360-441-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE MASSAGE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-441-8342",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 28, 2025; 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.