Active NPI
Timothy Wang, LMT
- Rehabilitation Practitioner
- Walla Walla, WA
National Provider Identifier
1346134012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- MA61590681
- Practice address
- 800 Sprague St
Suite 106
Walla Walla, WA 99362-1559 - Phone
- (509) 704-0226
- NPI assigned
- Jun 5, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61590681 | WA | |
| Rehabilitation Practitioner | 225400000X | MA61590681 | WA | Primary |
Addresses
Primary practice location
800 Sprague St
Suite 106
Walla Walla, WA 99362-1559
Mailing address
623 SE Birch Ave
College Place, WA 99324-1612
Phone (509) 704-0226
Other practice location 1
2330 Eastgate St Ste 106
Walla Walla, WA 99362-1559
Phone (509) 563-0719
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 |
|---|---|---|---|
| MA61590681 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Better | Massage Therapist | Current | Accepting new patients |
Locations
800 Sprague Ave
Ste 106
Walla Walla, WA 99362
Phone (509) 704-0226
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": "1749081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1346134012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 SE BIRCH AVE",
"city": "COLLEGE PLACE",
"state": "WA",
"postal_code": "993241612",
"telephone_number": "509-704-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SPRAGUE ST",
"address_2": "SUITE 106",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993621559",
"telephone_number": "509-704-0226"
}
],
"practiceLocations": [
{
"address_1": "2330 Eastgate St Ste 106",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993621559",
"country_code": "US",
"telephone_number": "509-563-0719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "TIMOTHY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-05",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61590681",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "WA",
"license": "MA61590681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.