Active NPI
George Kazumasa Teramoto, LMP, MAT
- Massage Therapist
- Tukwila, WA
National Provider Identifier
1386979458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60112428
- Practice address
- 596 Industry Dr
Suite 270
Tukwila, WA 98188-3404 - Phone
- (206) 409-4007
- NPI assigned
- Oct 7, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60112428 | WA | Primary |
| Massage Therapist | 225700000X | MAT4150 | HI |
Addresses
Primary practice location
596 Industry Dr
Suite 270
Tukwila, WA 98188-3404
Mailing address
596 Industry Dr
Suite 270
Tukwila, WA 98188-3404
Phone (206) 409-4007
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 |
|---|---|---|---|
| MAT4150 | HI | MD | Massage Therapist |
| MA60112428 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1386979458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "596 INDUSTRY DR",
"address_2": "SUITE 270",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981883404",
"telephone_number": "206-409-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "596 INDUSTRY DR",
"address_2": "SUITE 270",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981883404",
"telephone_number": "206-409-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERAMOTO",
"first_name": "GEORGE",
"middle_name": "KAZUMASA",
"name_prefix": "Mr.",
"credential": "LMP, MAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-07",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60112428",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT4150",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.