Active NPI
Sally Letherman
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1255876306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1299 156TH Ave NE Ste 123
Bellevue, WA 98007-7562 - Phone
- (425) 614-4000
- NPI assigned
- Dec 28, 2016
- 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 | WA | Primary |
Addresses
Primary practice location
1299 156TH Ave NE Ste 123
Bellevue, WA 98007-7562
Mailing address
16191 NE 83Rd St Unit C518
Redmond, WA 98052-4057
Phone (907) 841-1492
Other practice location 1
16191 NE 83rd St Unit C518
Redmond, WA 98052-4057
Phone (907) 841-1492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60725106 | Other | WA | MASSAGE THERAPIST LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Chiropractic 4 PLLC | Massage Therapist | Past | Accepting new patients |
| Wright Life Chiropractic | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1255876306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16191 NE 83RD ST UNIT C518",
"city": "REDMOND",
"state": "WA",
"postal_code": "980524057",
"telephone_number": "907-841-1492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 156TH AVE NE STE 123",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980077562",
"telephone_number": "425-614-4000"
}
],
"practiceLocations": [
{
"address_1": "16191 NE 83rd St Unit C518",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "WA",
"postal_code": "980524057",
"country_code": "US",
"telephone_number": "907-841-1492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LETHERMAN",
"first_name": "SALLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-28",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST LICENSE",
"identifier": "MA60725106",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.