Individual provider Active NPI

Joshua Tellier, MA60591531

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1285141671
Registry record updated Jan 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60591531 Issued in WA
Practice address
1112 Finnegan Way
Bellingham, WA 98225-6622
Phone
(360) 527-9566
NPI assigned
Jan 7, 2018
Last updated
Jan 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2018

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 MA60591531 WA Primary

Addresses

Primary practice location

1112 Finnegan Way
Bellingham, WA 98225-6622

Mailing address

1112 Finnegan Way
Bellingham, WA 98225-6622

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
MA60591531WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515283200000",
    "number": "1285141671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 FINNEGAN WAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 FINNEGAN WAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256622",
            "telephone_number": "360-527-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLIER",
        "first_name": "JOSHUA",
        "credential": "MA60591531",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60591531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2018; 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.