Individual provider Active NPI

Sami Vertz, LMT

  • Massage Therapist
  • Morton, WA
National Provider Identifier
1285030353
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60513974 Issued in WA
Practice address
101 Main Ave
Morton, WA 98576
Phone
(360) 953-1418
NPI assigned
Nov 17, 2014
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 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 MA60513974 WA Primary

Addresses

Primary practice location

101 Main Ave
Morton, WA 98576

Mailing address

319 Savio Rd
Randle, WA 98377-9609
Phone (360) 953-1418

Other practice location 1

10004 204th Ave E
Suite 3100
Bonney Lake, WA 98391-6539
Phone (253) 863-7510

Other names 1

  • Sami Nicole Moore Former name

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

LicenseStateTypeSpecialty
MA60513974WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1285030353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SAVIO RD",
            "city": "RANDLE",
            "state": "WA",
            "postal_code": "983779609",
            "telephone_number": "360-953-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN AVE",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "98576",
            "telephone_number": "360-953-1418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10004 204th Ave E",
            "address_2": "SUITE 3100",
            "address_purpose": "LOCATION",
            "city": "Bonney Lake",
            "state": "WA",
            "postal_code": "983916539",
            "country_code": "US",
            "telephone_number": "253-863-7510",
            "fax_number": "253-863-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERTZ",
        "first_name": "SAMI",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60513974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMI",
            "last_name": "MOORE",
            "middle_name": "NICOLE",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.