NPIMap

Organization Active NPI

Seattle Therapeutics PS

Doing business as Thrive Healing Massage

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1245502749
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00018784 Issued in WA
Legal business name
SEATTLE THERAPEUTICS PS
Doing business as
Thrive Healing Massage
Practice address
701 N 36TH St Ste #420
Seattle, WA 98103-8868
Phone
(206) 547-5677
Fax
(206) 547-5598
NPI assigned
Jan 31, 2012
Last updated
Jan 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Michael D Bourbonnais, DC
Title
D.C
Phone
(206) 547-5677

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00023264 WA
Massage Therapist 225700000X MA60159887 WA
Massage Therapist 225700000X MA00012837 WA
Massage Therapist 225700000X MA60258024 WA
Massage Therapist 225700000X MA60303918 WA
Massage Therapist 225700000X MA00018784 WA Primary
Mechanotherapist 172M00000X MA00019319 WA
Mechanotherapist 172M00000X MA60247265 WA

Addresses

Primary practice location

701 N 36TH St Ste #420
Seattle, WA 98103-8868

Mailing address

701 N 36TH St Ste #420
Seattle, WA 98103-8868
Phone (206) 547-5677

Other names 1

  • Thrive Healing Massage Doing business as

National Provider Directory

National Provider Directory

Locations

701 N 36th St
Ste 420
Seattle, WA 98103
Phone (206) 547-5677

Practitioners & affiliated clinicians

Practitioners 4

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": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1245502749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 36TH ST STE #420",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038868",
            "telephone_number": "206-547-5677",
            "fax_number": "206-547-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 36TH ST STE #420",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038868",
            "telephone_number": "206-547-5677",
            "fax_number": "206-547-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE THERAPEUTICS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "BOURBONNAIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "D.C",
        "authorized_official_telephone_number": "206-547-5677",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00023264",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60159887",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00012837",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60258024",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60303918",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018784",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00019319",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60247265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Healing Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 17, 2013; 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.