Individual provider Active NPI

Courtney Raisio, LMP

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1295956191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00019214 Issued in WA
Practice address
601 S Pine St Ste 201
Tacoma, WA 98405-2795
Phone
(253) 396-1000
Fax
(253) 396-1012
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

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 Therapist 225700000X MA00019214 WA Primary

Addresses

Primary practice location

601 S Pine St Ste 201
Tacoma, WA 98405-2795

Mailing address

601 S Pine St Ste 201
Tacoma, WA 98405-2795
Phone (253) 396-1000

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
MA00019214WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Chiropractic Health Connection PastSince Apr 1, 2007 Accepting new patients
E1Spine PLLC Massage Therapist PastSince May 24, 2020 Accepting new patients

Organizations & group practices 2

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295956191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S PINE ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052795",
            "telephone_number": "253-396-1000",
            "fax_number": "253-396-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S PINE ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052795",
            "telephone_number": "253-396-1000",
            "fax_number": "253-396-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISIO",
        "first_name": "COURTNEY",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, 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.