Active NPI
Danica J Roberts, LMT
- Mechanotherapist
- Snoqualmie, WA
National Provider Identifier
1356731152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA00010050
- Practice address
- 38021 SE 90TH St
Snoqualmie, WA 98065-9202 - Phone
- (206) 954-5216
- NPI assigned
- Jan 31, 2015
- Last updated
- Jan 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA00010050 | WA | Primary |
Addresses
Primary practice location
38021 SE 90TH St
Snoqualmie, WA 98065-9202
Mailing address
38021 SE 90TH St
Snoqualmie, WA 98065-9202
Phone (206) 954-5216
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 |
|---|---|---|---|
| MA00010050 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422662400000",
"number": "1356731152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38021 SE 90TH ST",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980659202",
"telephone_number": "206-954-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38021 SE 90TH ST",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980659202",
"telephone_number": "206-954-5216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "DANICA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-31",
"last_updated": "2015-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA00010050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snoqualmie, WA
- Revitalize Movement Physical Therapy Studio LLC (FYZICAL Therapy and Balance Center Snoqualmie)
- Adrienne Richards, RN
- Rachel L Richter, M.A., L.M.H.C.
- Ridge Pharmacy
- RMP Logic LLC
- Rachel Kathleen Robison, ARNP
- Rob Rowland-Dunn
- Enrica Maffucci Rowse, ND
- Royal Performance Physical Therapy
- RP Consulting LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.