Stephanie Michele Sebastian, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60956387 Issued in WA

Practice address

16708 Bothell Everett Hwy Ste 202
Mill Creek, WA 98012-6345

Phone

(425) 286-2712

Fax

(425) 286-2713

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Daniel Marcus Fricke Professional Servie Corporation

  dba Dr. Dan Chiropractic and Massage

  • Chiropractor
  • Mill Creek, WA
  • NPI 1144669029
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1275189623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W CASINO RD APT 12F",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982041741",
            "telephone_number": "602-321-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16708 BOTHELL EVERETT HWY STE 202",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126345",
            "telephone_number": "425-286-2712",
            "fax_number": "425-286-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60956387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bothell",
            "affiliation": "Y",
            "affiliationName": "Daniel Marcus Fricke Professional Servie Corporation",
            "address_1": "16708 Bothell Everett Hwy",
            "address_2": "Suite 202",
            "city": "Mill Creek",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980126345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gretchen Schuetter, LMP
• John Francis Schulze
• Vicki A Schwartz, BS, PT
• Kimberly Schwittay
• Seattle Christian Counseling
• Christine Secor, M.A.
• Robert L Segal
• Namrita Sekhon, M.D
• Patricia Gail Seki
• Senick Enterprises, PLLC

• Massage Therapist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.