Active NPI
Mikaila Grosso, LMT
- Massage Therapist
- Olympia, WA
National Provider Identifier
1265239826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61647811
- Practice address
- 405 Black Hills LN SW Ste D2
Olympia, WA 98502-8661 - Phone
- (425) 202-5210
- NPI assigned
- Feb 28, 2025
- Last updated
- Feb 28, 2025
- Sex
- Female
- Sole proprietor
- No
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 | MA61647811 | WA | Primary |
Addresses
Primary practice location
405 Black Hills LN SW Ste D2
Olympia, WA 98502-8661
Mailing address
427 Percival St NW
Olympia, WA 98502-4855
Phone (360) 878-0400
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 |
|---|---|---|---|
| MA61647811 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitspa, LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1265239826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 PERCIVAL ST NW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985024855",
"telephone_number": "360-878-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 BLACK HILLS LN SW STE D2",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028661",
"telephone_number": "425-202-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSO",
"first_name": "MIKAILA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61647811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.