Active NPI
Tallon Micheal Johnston
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1316377146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60311704
- Practice address
- 11600 SE Mill Plain Blvd Ste 3J
Vancouver, WA 98684-5083 - Phone
- (360) 253-6674
- NPI assigned
- Nov 14, 2013
- Last updated
- Nov 14, 2013
- Sex
- Male
- Sole proprietor
- No
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 | MA 60311704 | WA | Primary |
Addresses
Primary practice location
11600 SE Mill Plain Blvd Ste 3J
Vancouver, WA 98684-5083
Mailing address
17901 SE 17TH LN
Vancouver, WA 98683-1915
Phone (360) 789-3287
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 |
|---|---|---|---|
| MA 60311704 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael B. Pettet, DC, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Back and Neck Care Chiropractic
- Chiropractor
- Vancouver, WA
- NPI 1609086784
Massage Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1316377146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17901 SE 17TH LN",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831915",
"telephone_number": "360-789-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 SE MILL PLAIN BLVD STE 3J",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986845083",
"telephone_number": "360-253-6674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "TALLON",
"middle_name": "MICHEAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-14",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60311704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
- Alison M Johnston, RPH
- Anne Lucille Johnston, RN
- Ashley Johnston
- Jessica M Johnston
- Rebecca Suzanne Johnston
- Sarah Rose Johny
- John Harrell Joines, LMHCA
- Joint Ventures Therapeutics PC (Majerus & Co. Physical Therapy)
- Nicole Jonak, MS, CCC-SLP
- Jonathan Chodroff, MD, DDS, II, P.L.L.C. (Lake River Oral and Facial Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.