Individual provider Active NPI

Natalie G Ratkovich, LMP

  • Massage Therapist
  • Spokane Valley, WA
National Provider Identifier
1295871143
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00016522 Issued in WA
Practice address
1420 N Mullan Rd Ste L-10
Spokane Valley, WA 99206-4042
Phone
(509) 924-9500
Fax
(509) 924-9515
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00016522 WA Primary

Addresses

Primary practice location

1420 N Mullan Rd Ste L-10
Spokane Valley, WA 99206-4042

Mailing address

1420 N Mullan Rd Ste L-10
Spokane Valley, WA 99206-4042
Phone (509) 924-9500

Other identifiers 1

IdentifierTypeStateIssuer
0159006OtherWAL &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

LicenseStateTypeSpecialty
MA00016522WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295871143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N MULLAN RD STE L-10",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064042",
            "telephone_number": "509-924-9500",
            "fax_number": "509-924-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N MULLAN RD STE L-10",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064042",
            "telephone_number": "509-924-9500",
            "fax_number": "509-924-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATKOVICH",
        "first_name": "NATALIE",
        "middle_name": "G",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00016522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L &I",
            "identifier": "0159006",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.