Active NPI
Mason McCoy Guillory, MT
- Massage Therapist
- Seattle, WA
National Provider Identifier
1326623711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61144991
- Practice address
- 1200 NE 65TH St
Seattle, WA 98115-6724 - Phone
- (260) 522-4000
- NPI assigned
- Mar 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 61144991 | WA | Primary |
Addresses
Primary practice location
1200 NE 65TH St
Seattle, WA 98115-6724
Mailing address
1200 NE 65TH St
Seattle, WA 98115-6724
Other names 1
- Mason McCoy Firestone
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61144991 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1326623711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 NE 65TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NE 65TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156724",
"telephone_number": "260-522-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "MASON",
"middle_name": "MCCOY",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61144991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MASON",
"last_name": "FIRESTONE",
"middle_name": "MCCOY",
"credential": "MT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.