Active NPI
Phyllis Fuglie
- Massage Therapist
- Ephrata, WA
National Provider Identifier
1245587567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60249687
- Practice address
- 523 1St Ave NW
Ephrata, WA 98823-1501 - Phone
- (509) 754-3356
- NPI assigned
- Aug 6, 2012
- Last updated
- Aug 6, 2012
- Sex
- Female
- 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 | 60249687 | WA | Primary |
Addresses
Primary practice location
523 1St Ave NW
Ephrata, WA 98823-1501
Mailing address
724 D St SW
Ephrata, WA 98823
Phone (509) 754-3356
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 |
|---|---|---|---|
| 60249687 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1245587567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 D ST SW",
"city": "EPHRATA",
"state": "WA",
"postal_code": "98823",
"telephone_number": "509-754-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 1ST AVE NW",
"city": "EPHRATA",
"state": "WA",
"postal_code": "988231501",
"telephone_number": "509-754-3356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGLIE",
"first_name": "PHYLLIS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60249687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ephrata, WA
- Ephrata Family Dentistry
- Ephrata Medical Center P.S.
- Ephrata School District
- Dolores Ford, MS, NCC, LMHCA
- Hans W Fredericksen, RPH
- Dawn Gravning Galster, MS/P
- Tracie Louise Geer, LMHC
- Seth Gerst, D.C.
- Grant Co Public Hospital District 3 (Columbia Basin Family Medicine Clinic)
- Grant County Public Hospital District 3 (Columbia Basin Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.