Active NPI
Jamil Ellinger, LMP
- Massage Therapist
- Lacey, WA
National Provider Identifier
1386000115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60483747
- Practice address
- 8830 Tallon LN NE
Ste F
Lacey, WA 98516-6656 - Phone
- (360) 819-2877
- NPI assigned
- Jan 9, 2016
- 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 | MA60483747 | WA | Primary |
Addresses
Primary practice location
8830 Tallon LN NE
Ste F
Lacey, WA 98516-6656
Mailing address
8830 Tallon LN NE
Ste F
Lacey, WA 98516-6656
Phone (360) 819-2877
Other names 1
- Emry Ellinger
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 |
|---|---|---|---|
| MA60483747 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Recovery Room LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452297600000",
"number": "1386000115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8830 TALLON LN NE",
"address_2": "STE F",
"city": "LACEY",
"state": "WA",
"postal_code": "985166656",
"telephone_number": "360-819-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8830 TALLON LN NE",
"address_2": "STE F",
"city": "LACEY",
"state": "WA",
"postal_code": "985166656",
"telephone_number": "360-819-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGER",
"first_name": "JAMIL",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-09",
"last_updated": "2016-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60483747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMRY",
"last_name": "ELLINGER",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lacey, WA
- Ehrmantrout & Davidson, PLLC (Hawks Prairie Pediatric Dentistry/ West Olympia Kids Dentistry)
- Elaine Vaughn Counseling LLC
- Elevate Sports and Spine Physical Therapy, PLLC
- Elizabeth Manchester DDS PLLC (Dental Care By Design)
- Jason R Eller, LICSWA, MSW
- Leslie Ellingson, R.N.
- Elroi Mental Health Services PLLC
- Empowered Minds Neuropsychology
- Adam Larue Engle
- Scott O Ensign, MPT JSCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.