Active NPI
Alexandra E Proell, LMP
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1245660463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60319989
- Practice address
- 9 Lake Bellevue Dr Ste 112
Bellevue, WA 98005-2454 - Phone
- (425) 452-1772
- Fax
- (425) 450-0365
- NPI assigned
- Nov 25, 2013
- 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 | MA 60319989 | WA | Primary |
Addresses
Primary practice location
9 Lake Bellevue Dr Ste 112
Bellevue, WA 98005-2454
Mailing address
2307 NE 4TH St Apt H108
Renton, WA 98056-8816
Phone (425) 635-0544
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 |
|---|---|---|---|
| MA 60319989 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1245660463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 NE 4TH ST APT H108",
"city": "RENTON",
"state": "WA",
"postal_code": "980568816",
"telephone_number": "425-635-0544",
"fax_number": "425-450-0365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 LAKE BELLEVUE DR STE 112",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052454",
"telephone_number": "425-452-1772",
"fax_number": "425-450-0365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROELL",
"first_name": "ALEXANDRA",
"middle_name": "E",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-25",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60319989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
- Priyanka Sharma,DDS,PLLC
- Pro Medical PC
- Pro Medical PT
- Pro Surgery Center LLC
- Sarah Procko, CNM
- Professional Recreation Organization, Inc.
- Professional Recreation Organization, Inc.
- Professional Recreation Organization, Inc.
- Professional Recreation Organization, Inc.
- Professional Recreation Organization, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.