Active NPI
Tyler J Sheets, LMT
- Massage Therapist
- Zillah, WA
National Provider Identifier
1376123166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61149744
- Practice address
- 808 1St Ave
Zillah, WA 98953-9435 - Phone
- (509) 910-8776
- NPI assigned
- Apr 14, 2021
- Sex
- Male
- Sole proprietor
- No
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 | MA61149744 | WA | Primary |
Addresses
Primary practice location
808 1St Ave
Zillah, WA 98953-9435
Mailing address
PO Box 535
Zillah, WA 98953-0535
Phone (509) 910-8776
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 |
|---|---|---|---|
| MA61149744 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1376123166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 535",
"city": "ZILLAH",
"state": "WA",
"postal_code": "989530535",
"telephone_number": "509-910-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 1ST AVE",
"city": "ZILLAH",
"state": "WA",
"postal_code": "989539435",
"telephone_number": "509-910-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEETS",
"first_name": "TYLER",
"middle_name": "J",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-14",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61149744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zillah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.