Active NPI
Sarah Lynne Ronfeldt, LMP
- Mechanotherapist
- Lacey, WA
National Provider Identifier
1295053536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA60106709
- Practice address
- 4631 Whitman LN SE
Lacey, WA 98513-2201 - Phone
- (360) 932-1717
- Fax
- (360) 923-0404
- NPI assigned
- May 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA60106709 | WA | Primary |
Addresses
Primary practice location
4631 Whitman LN SE
Lacey, WA 98513-2201
Mailing address
4631 Whitman LN SE
Lacey, WA 98513-2201
Phone (360) 932-1717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60106709 | Other | WA | MASSAGE STATE LICENSE |
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 |
|---|---|---|---|
| MA60106709 | WA | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sorem Family Chiropractic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Lacey, WA
- NPI 1295907442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1295053536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4631 WHITMAN LN SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985132201",
"telephone_number": "360-932-1717",
"fax_number": "360-923-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4631 WHITMAN LN SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985132201",
"telephone_number": "360-932-1717",
"fax_number": "360-923-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONFELDT",
"first_name": "SARAH",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-11",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA60106709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE STATE LICENSE",
"identifier": "MA60106709",
"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 May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.