Active NPI
Michael Reed Moritz, L.M.P.
- Massage Therapist
- Yakima, WA
National Provider Identifier
1245504877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00003036
- Practice address
- 1901 W Lincoln Ave
Suite C
Yakima, WA 98902-2489 - Phone
- (509) 941-8866
- NPI assigned
- Feb 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | MA00003036 | WA | Primary |
Addresses
Primary practice location
1901 W Lincoln Ave
Suite C
Yakima, WA 98902-2489
Mailing address
1901 W Lincoln Ave
Suite C
Yakima, WA 98902-2489
Phone (509) 941-8866
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 |
|---|---|---|---|
| MA00003036 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1245504877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W LINCOLN AVE",
"address_2": "SUITE C",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022489",
"telephone_number": "509-941-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W LINCOLN AVE",
"address_2": "SUITE C",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022489",
"telephone_number": "509-941-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORITZ",
"first_name": "MICHAEL",
"middle_name": "REED",
"name_prefix": "Mr.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-29",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00003036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.