Individual provider Active NPI

Meghan K Gattis, LMT

  • Massage Therapist
  • Ferndale, WA
National Provider Identifier
1336490424
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60303681 Issued in WA
Practice address
6046 Portal Way Ste 102
Ferndale, WA 98248-7829
Phone
(360) 201-5712
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60303681 WA Primary

Addresses

Primary practice location

6046 Portal Way Ste 102
Ferndale, WA 98248-7829

Mailing address

6046 Portal Way Ste 102
Ferndale, WA 98248-7829
Phone (360) 201-5712

Other practice location 1

2076 Main St Ste 2
Ferndale, WA 98248-9468
Phone (360) 201-5712

Other practice location 2

4200 Guide Meridian Ste 105
Bellingham, WA 98226-5595
Phone (360) 201-5712

Other practice location 3

4340 Pacific Hwy Unit 103
Bellingham, WA 98226-9326
Phone (360) 201-5712

Other practice location 4

953 Garfield Ave
Blaine, WA 98230-4031
Phone (360) 201-5712

Other identifiers 1

IdentifierTypeStateIssuer
MA60303681OtherWALICENSED MASSAGE PRACTITIONER

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

LicenseStateTypeSpecialty
MA60303681WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salt of the Earth Massage PLLC Massage Therapist CurrentSince Dec 3, 2023 Accepting new patients

Locations

6046 Portal Way
Ste 102
Ferndale, WA 98248
Phone (360) 201-5712

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1336490424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6046 PORTAL WAY STE 102",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982487829",
            "telephone_number": "360-201-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6046 PORTAL WAY STE 102",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982487829",
            "telephone_number": "360-201-5712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2076 Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "WA",
            "postal_code": "982489468",
            "country_code": "US",
            "telephone_number": "360-201-5712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Guide Meridian Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982265595",
            "country_code": "US",
            "telephone_number": "360-201-5712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4340 Pacific Hwy Unit 103",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982269326",
            "country_code": "US",
            "telephone_number": "360-201-5712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "953 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "WA",
            "postal_code": "982304031",
            "country_code": "US",
            "telephone_number": "360-201-5712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATTIS",
        "first_name": "MEGHAN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60303681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE PRACTITIONER",
            "identifier": "MA60303681",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.