Individual provider Active NPI

Patrick Michael Stewart, MA

  • Massage Therapist
  • Liberty Lake, WA
National Provider Identifier
1356909410
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA-60931077 Issued in WA
Practice address
21651 E Country Vista Dr Ste F
Liberty Lake, WA 99019-7709
Phone
(509) 319-2310
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA-60931077 WA Primary

Addresses

Primary practice location

21651 E Country Vista Dr Ste F
Liberty Lake, WA 99019-7709

Mailing address

2420 N Dakota St
Spokane, WA 99207-2625
Phone (509) 251-6484

Other practice location 1

15412 E Sprague Ave Ste 8
Spokane Valley, WA 99037-8841
Phone (509) 928-9098

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

LicenseStateTypeSpecialty
MA-60931077WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebalance Point Massage Massage Therapist CurrentSince Oct 12, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1356909410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 N DAKOTA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072625",
            "telephone_number": "509-251-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21651 E COUNTRY VISTA DR STE F",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197709",
            "telephone_number": "509-319-2310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15412 E Sprague Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "990378841",
            "country_code": "US",
            "telephone_number": "509-928-9098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA-60931077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.