Active NPI
Joel Cameron Rouse, MA 60713373
- Massage Therapist
- Lacey, WA
National Provider Identifier
1356868293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60713373
- Practice address
- 8830 Tallon LN NE # H1
Lacey, WA 98516-6656 - Phone
- (971) 319-5854
- NPI assigned
- Aug 22, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60713373 | WA | Primary |
Addresses
Primary practice location
8830 Tallon LN NE # H1
Lacey, WA 98516-6656
Mailing address
8830 Tallon LN NE # H1
Lacey, WA 98516-6656
Phone (509) 953-4356
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60713373 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steamboat Health & Wellness, PLLC | Massage Therapist | Past | Accepting new patients |
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.
-
- Massage Therapist
- Olympia, WA
- NPI 1174909345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1356868293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8830 TALLON LN NE # H1",
"city": "LACEY",
"state": "WA",
"postal_code": "985166656",
"telephone_number": "509-953-4356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8830 TALLON LN NE # H1",
"city": "LACEY",
"state": "WA",
"postal_code": "985166656",
"telephone_number": "971-319-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "JOEL",
"middle_name": "CAMERON",
"credential": "MA 60713373",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-22",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60713373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.