Active NPI
Josephine Waldner, LMT
- Massage Therapist
- Ferndale, WA
National Provider Identifier
1295334266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61100177
- Practice address
- 6046 Portal Way Ste 104
Ferndale, WA 98248-7829 - Phone
- (360) 224-3091
- NPI assigned
- Oct 21, 2020
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 61100177 | WA | Primary |
Addresses
Primary practice location
6046 Portal Way Ste 104
Ferndale, WA 98248-7829
Mailing address
9409 Delta Line Rd
Blaine, WA 98230-9766
Phone (360) 224-3091
Other practice location 1
2410 Yew St
Bellingham, WA 98229-3940
Phone (360) 733-4222
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 |
|---|---|---|---|
| 61100177 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Health Care Clinic P.S. | Single Specialty | Current | Accepting new patients |
Locations
2410 Yew St
Bellingham, WA 98229
Phone (360) 733-4222
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1295334266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9409 DELTA LINE RD",
"city": "BLAINE",
"state": "WA",
"postal_code": "982309766",
"telephone_number": "360-224-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6046 PORTAL WAY STE 104",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982487829",
"telephone_number": "360-224-3091"
}
],
"practiceLocations": [
{
"address_1": "2410 Yew St",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982293940",
"country_code": "US",
"telephone_number": "360-733-4222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALDNER",
"first_name": "JOSEPHINE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "61100177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.