Heather L Maclean, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00008910 Issued in WA

Practice address

16007 NE 8TH St
Suite 200
Bellevue, WA 98008-3914

Phone

(425) 576-8180

Fax

(425) 746-2002

NPI assigned

Aug 21, 2012

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Esrc PLLC

  dba Eastside Sports Rehab

  • Physical Therapy Clinic/Center
  • Bellevue, WA
  • NPI 1699796755
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1326396458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6908",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980080908",
            "telephone_number": "425-576-8180",
            "fax_number": "425-746-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16007 NE 8TH ST",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083914",
            "telephone_number": "425-576-8180",
            "fax_number": "425-746-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEAN",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00008910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakita Mack, DO
• Micah James Roland Mack, DO
• Shari Mackay
• Kathryn Anne Mackey, L.M.P.
• Kristin Sara Mackinnon, LICSW
• Sydney Ruth Macnaughton
• Haley J Macy, AUD
• Mallory Marie Macy, M.ED.
• Robin Owens Macy, M.S. CCC-SLP
• Arleah Anna Madamba, MSOT, OTR

• Massage Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.