Active NPI
Robin D Phillips, LMP
- Massage Therapist
- Lacey, WA
National Provider Identifier
1295008605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60226468
- Practice address
- 5210 Corporate Center CT SE
Suite D
Lacey, WA 98503-5952 - Phone
- (360) 352-7352
- Fax
- (360) 352-7680
- NPI assigned
- Feb 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60226468 | WA | Primary |
Addresses
Primary practice location
5210 Corporate Center CT SE
Suite D
Lacey, WA 98503-5952
Mailing address
1519 132ND St SE
Suite a
Everett, WA 98208-7203
Phone (425) 357-9380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0290734 | Other | WA | L & I |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60226468 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1295008605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 132ND ST SE",
"address_2": "SUITE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982087203",
"telephone_number": "425-357-9380",
"fax_number": "425-357-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 CORPORATE CENTER CT SE",
"address_2": "SUITE D",
"city": "LACEY",
"state": "WA",
"postal_code": "985035952",
"telephone_number": "360-352-7352",
"fax_number": "360-352-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ROBIN",
"middle_name": "D",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60226468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0290734",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.