Active NPI
Primespine PLLC
Doing business as Bellevue Therapeutic Massage
- Massage Therapist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60261687
- Legal business name
- PRIMESPINE PLLC
- Doing business as
- Bellevue Therapeutic Massage
- Practice address
- 4122 Factoria Blvd SE Ste 203
Bellevue, WA 98006-5259 - Phone
- (425) 590-9619
- NPI assigned
- Feb 10, 2012
- Last updated
- Feb 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benjamin Baker, D.C.
- Title
- Chiropractor
- Phone
- (425) 590-9619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60261687 | WA | Primary |
Addresses
Primary practice location
4122 Factoria Blvd SE Ste 203
Bellevue, WA 98006-5259
Mailing address
4122 Factoria Blvd SE Ste 203
Bellevue, WA 98006-5259
Phone (425) 590-9619
Other names 1
- Bellevue Therapeutic Massage
National Provider Directory
National Provider Directory- Tax ID family
- Bellevue Therapeutic Massage
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Bellevue, WA
- NPI 1336466143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328832000000",
"number": "1356614085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4122 FACTORIA BLVD SE STE 203",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980065259",
"telephone_number": "425-590-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4122 FACTORIA BLVD SE STE 203",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980065259",
"telephone_number": "425-590-9619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMESPINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-10",
"last_updated": "2012-02-10",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "425-590-9619",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60261687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bellevue Therapeutic Massage",
"code": "3",
"type": "Doing Business As"
}
]
}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 Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.