Active NPI
Zachariah Stephen Smalley, LMP
- Massage Therapist
- Bellingham, WA
National Provider Identifier
1336509405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60605114
- Practice address
- 12 Bellwether Way Ste 201
Bellingham, WA 98225-2914 - Phone
- (360) 366-4216
- Fax
- (360) 366-4216
- NPI assigned
- Mar 2, 2016
- Sex
- Male
- Sole proprietor
- No
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 | MA60605114 | WA | Primary |
Addresses
Primary practice location
12 Bellwether Way Ste 201
Bellingham, WA 98225-2914
Mailing address
12 Bellwether Way Ste 201
Bellingham, WA 98225-2914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60605114 | Other | WA | WASHINGTON STATE MASSAGE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60605114 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495152000000",
"number": "1336509405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BELLWETHER WAY STE 201",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252914",
"fax_number": "360-366-4216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 BELLWETHER WAY STE 201",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252914",
"telephone_number": "360-366-4216",
"fax_number": "360-366-4216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLEY",
"first_name": "ZACHARIAH",
"middle_name": "STEPHEN",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-02",
"last_updated": "2017-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60605114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE MASSAGE LICENSE",
"identifier": "MA60605114",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.