Individual provider Active NPI

Breanna Zeis, LMT

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1265855845
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60354048 Issued in WA
Practice address
624 W. Hastings
Suite 16
Spokane, WA 99218
Phone
(509) 954-5018
Fax
(509) 241-0815
NPI assigned
Feb 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 60354048 WA Primary

Addresses

Primary practice location

624 W. Hastings
Suite 16
Spokane, WA 99218

Mailing address

624 W Hastings Rd Ste 14
Spokane, WA 99218-2877
Phone (509) 954-5018

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
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
MA 60354048WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Massage Massage Therapist Current Accepting new patients

Locations

624 W Hastings Rd
Ste 16
Spokane, WA 99218
Phone (509) 954-5018

624 W Hastings Rd
Ste 14
Spokane, WA 99218
Phone (509) 954-5018

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1265855845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W HASTINGS RD STE 14",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182877",
            "telephone_number": "509-954-5018",
            "fax_number": "509-241-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W. HASTINGS",
            "address_2": "SUITE 16",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99218",
            "telephone_number": "509-954-5018",
            "fax_number": "509-241-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIS",
        "first_name": "BREANNA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-02",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60354048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.