NPIMap

Organization Active NPI

Riverside Therapeutic Massage

  • Massage Therapist
  • Richland, WA
National Provider Identifier
1386069748
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA0001444 Issued in WA
Legal business name
RIVERSIDE THERAPEUTIC MASSAGE
Practice address
640 Jadwin Ave Ste J
Richland, WA 99352-4244
Phone
(509) 946-4800
Fax
(509) 943-1270
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Mark Whitten, LMP
Title
Owner, LMP
Phone
(509) 946-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA0001444 WA Primary

Addresses

Primary practice location

640 Jadwin Ave Ste J
Richland, WA 99352-4244

Mailing address

640 Jadwin Ave Ste J
Richland, WA 99352-4244
Phone (509) 946-4800

National Provider Directory

National Provider Directory
Tax ID family
Riverside Therapeutic Massage4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

640 Jadwin Ave
Ste J
Richland, WA 99352
Phone (509) 946-4800

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1386069748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 JADWIN AVE STE J",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524244",
            "telephone_number": "509-946-4800",
            "fax_number": "509-943-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JADWIN AVE STE J",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524244",
            "telephone_number": "509-946-4800",
            "fax_number": "509-943-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER, LMP",
        "authorized_official_telephone_number": "509-946-4800",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA0001444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.