NPIMap

Organization Active NPI

Lake Washington Massage Therapy

  • Preferred Provider Organization
  • Redmond, WA
National Provider Identifier
1326412867
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
MA60606643 Issued in WA
Legal business name
LAKE WASHINGTON MASSAGE THERAPY
Practice address
15965 NE 85TH St
Suite 102
Redmond, WA 98052-3593
Phone
(425) 882-9065
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Danielle Brooks
Title
Owner
Phone
(425) 882-9065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X MA60606643 WA Primary

Addresses

Primary practice location

15965 NE 85TH St
Suite 102
Redmond, WA 98052-3593

Mailing address

15965 NE 85TH St
Suite 102
Redmond, WA 98052-3593
Phone (425) 882-9065

National Provider Directory

National Provider Directory
Tax ID family
Lake Washington Massage Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15965 NE 85th St
Ste 102
Redmond, WA 98052
Phone (425) 882-9065

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1326412867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15965 NE 85TH ST",
            "address_2": "SUITE 102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523593",
            "telephone_number": "425-882-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15965 NE 85TH ST",
            "address_2": "SUITE 102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523593",
            "telephone_number": "425-882-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WASHINGTON MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-882-9065"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "MA60606643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.