Active NPI
Crossfunction Sports Massage, PLLC
- Massage Therapist
- Mill Creek, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60410229
- Legal business name
- CROSSFUNCTION SPORTS MASSAGE, PLLC
- Practice address
- 805 164TH St SE Ste 100
Mill Creek, WA 98012-6316 - Phone
- (425) 418-8588
- NPI assigned
- Jun 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Lynn Mapes, LMT
- Title
- Owner
- Phone
- (425) 595-3436
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60410229 | WA | Primary |
Addresses
Primary practice location
805 164TH St SE Ste 100
Mill Creek, WA 98012-6316
Mailing address
805 164TH St SE Ste 100
Mill Creek, WA 98012-6316
Phone (425) 418-8588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275949349 | Other | WA | PERSONAL NPI NUMBER |
National Provider Directory
National Provider DirectoryLocations
16030 Bothell Hwy
Ste 140
Mill Creek, WA 98012
Phone (425) 338-9005
805 164th St SE
Ste 100
Mill Creek, WA 98012
Phone (425) 354-4296
16000 Bothell Everett Hwy
Unit 161
Mill Creek, WA 98012
Phone (425) 595-3436
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Mill Creek, WA
- NPI 1275949349
-
- Massage Therapist
- Burien, WA
- NPI 1649608589
-
- Massage Therapist
- Sammamish, WA
- NPI 1790535474
-
- Massage Therapist
- Everett, WA
- NPI 1154685535
-
- Massage Therapist
- Mill Creek, WA
- NPI 1609347616
-
- Massage Therapist
- Edmonds, WA
- NPI 1750471892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1316476112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 164TH ST SE STE 100",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980126316",
"telephone_number": "425-418-8588",
"fax_number": "425-595-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 164TH ST SE STE 100",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980126316",
"telephone_number": "425-418-8588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSFUNCTION SPORTS MASSAGE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-06",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "MAPES",
"authorized_official_first_name": "JENNY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-595-3436",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60410229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI NUMBER",
"identifier": "1275949349",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.