NPIMap

Organization Active NPI

TLC Massage Group LLC

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1346533940
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60192668 Issued in WA
Legal business name
TLC MASSAGE GROUP LLC
Practice address
41 148TH Ave SE
Bellevue, WA 98007-5167
Phone
(425) 409-3852
NPI assigned
May 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Tro OtaNPI 1770876351
Title
Owner
Phone
(425) 409-3852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA60192668 WA Primary

Addresses

Primary practice location

41 148TH Ave SE
Bellevue, WA 98007-5167

Mailing address

41 148TH Ave SE
Bellevue, WA 98007-5167

National Provider Directory

National Provider Directory

Locations

41 148th Ave SE
Bellevue, WA 98007
Phone (425) 409-3852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1346533940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 148TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 148TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075167",
            "telephone_number": "425-409-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MASSAGE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "OTA",
        "authorized_official_first_name": "TRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-409-3852"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60192668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.