Active NPI
Ross Patrick Klingele, L.M.P.
- Massage Therapist
- Shoreline, WA
National Provider Identifier
1255532743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00017902
- Practice address
- 14709 Aurora Ave N
Shoreline, WA 98133 - Phone
- (206) 363-4478
- Fax
- (206) 363-4640
- NPI assigned
- May 30, 2007
- Last updated
- Dec 14, 2017
- 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 | MA00017902 | Primary |
Addresses
Primary practice location
14709 Aurora Ave N
Shoreline, WA 98133
Mailing address
14709 Aurora Ave N
Shoreline, WA 98133
Phone (206) 363-4478
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513209600000",
"number": "1255532743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14709 AURORA AVE N",
"city": "SHORELINE",
"state": "WA",
"postal_code": "98133",
"telephone_number": "206-363-4478",
"fax_number": "206-363-4640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14709 AURORA AVE N",
"city": "SHORELINE",
"state": "WA",
"postal_code": "98133",
"telephone_number": "206-363-4478",
"fax_number": "206-363-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINGELE",
"first_name": "ROSS",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2017-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "MA00017902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.