Mary Ida Freitas, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00022879 Issued in WA

Practice address

5322 Orchard Street West
University Place, WA 98467

Phone

(253) 476-3333

NPI assigned

Jul 27, 2007

Last updated

Jul 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dana Krank & Angelito Mabini Co

  dba Big Sky Physical Therapy Health & Performance

  • Physical Therapist
  • University Place, WA
  • NPI 1740551860
  NPD (past)
• Epic PT Health & Performance LLC

  dba Epic Physical Therapy

  • Physical Therapist
  • Tacoma, WA
  • NPI 1407282734
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1316137185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 MAPLE LN",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "983884110",
            "telephone_number": "253-576-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 ORCHARD STREET WEST",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "98467",
            "telephone_number": "253-476-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "MARY",
        "middle_name": "IDA",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00022879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franciscan Medical Group (FMG Go Health Urgent Care - University Place)
• Lisa Frank, RPH
• Nikki Jane Frantz, LMT
• Fred Meyer Stores Inc (Fred Meyer Pharmacy)
• Sharon Kay Frederick, RN
• Bethany French, LMP
• Mercedes Christina Friend, PT, DPT
• Andrea Tiffany Friesen, M.D.
• Steven Joseph Frisina
• Theresa L Froelich, DO

• Massage Therapist in University Place, WA
• Providers in University Place, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.