Matthew R Timmons, LMP, LMT, CMT, NCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60171973 Issued in WA

Practice address

9463 NE Business Park LN
Bainbridge Island, WA 98110-3675

Phone

(206) 866-5426

NPI assigned

Jun 13, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1276387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1275854374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 HIGH SCHOOL LOOP NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102660",
            "telephone_number": "360-616-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9463 NE BUSINESS PARK LN",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103675",
            "telephone_number": "206-866-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "credential": "LMP, LMT, CMT, NCTMB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-13",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019006607",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AL",
            "license": "3106",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60171973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresse Elizabeth Gibbs Douglass
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• Nicholas Richard Thompson, D.M.D
• Margaret Anne Thurston, LM
• Laura Tilton
• Michael Tomberg, M.D.
• Allison Michelle Tonkin, LMP
• Laura A Towle, DPT
• Michele Susan Townshend, P.T.
• Hai Tran, MD

• Massage Therapist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.