Active NPI
Christian Repke, LMP
- Massage Therapist
- Tacoma, WA
National Provider Identifier
1306275045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60416956
- Practice address
- 6210 75TH St W Ste A100
Tacoma, WA 98499-8108 - Phone
- (253) 588-1800
- NPI assigned
- Nov 4, 2013
- Sex
- Male
- 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 | MA60416956 | WA | Primary |
Addresses
Primary practice location
6210 75TH St W Ste A100
Tacoma, WA 98499-8108
Mailing address
6210 75TH St W Ste A100
Tacoma, WA 98499-8108
Phone (253) 588-1800
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 |
|---|---|---|---|
| MA60416956 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creekside Chiropractic and Massage, PS | Massage Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1306275045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 75TH ST W STE A100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984998108",
"telephone_number": "253-588-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6210 75TH ST W STE A100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984998108",
"telephone_number": "253-588-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPKE",
"first_name": "CHRISTIAN",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60416956",
"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 Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.