Organization Active NPI

Pearl Professional Massage

  • Specialist
  • Tacoma, WA
National Provider Identifier
1275924623
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00018940 Issued in WA
Legal business name
PEARL PROFESSIONAL MASSAGE
Practice address
1919 N Pearl St
A4
Tacoma, WA 98406-2461
Phone
(253) 761-0930
Fax
(253) 761-8746
NPI assigned
Feb 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Courtney Holland, LMP, MMP
Title
Owner/Therapist
Phone
(253) 230-2919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MA00018940 WA Primary

Addresses

Primary practice location

1919 N Pearl St
A4
Tacoma, WA 98406-2461

Mailing address

1919 N Pearl St
A4
Tacoma, WA 98406-2461
Phone (253) 761-0930

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1275924623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 N PEARL ST",
            "address_2": "A4",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062461",
            "telephone_number": "253-761-0930",
            "fax_number": "253-761-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 N PEARL ST",
            "address_2": "A4",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062461",
            "telephone_number": "253-761-0930",
            "fax_number": "253-761-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL PROFESSIONAL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "253-230-2919",
        "authorized_official_credential": "LMP, MMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00018940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.