Individual provider Active NPI

Desmond K Loo, LMP

  • Massage Therapist
  • Redmond, WA
National Provider Identifier
1396145389
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60447183 Issued in WA
Practice address
23525 NE Novelty Hill Rd Ste A109
Redmond, WA 98053-1995
Phone
(425) 868-0120
Fax
(425) 868-3920
NPI assigned
Aug 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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 MA60447183 WA Primary

Addresses

Primary practice location

23525 NE Novelty Hill Rd Ste A109
Redmond, WA 98053-1995

Mailing address

23525 NE Novelty Hill Rd Ste A109
Redmond, WA 98053-1995

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

LicenseStateTypeSpecialty
MA60447183WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Marrone Professional Services, P.S. Past Accepting new patients
Redmond Ridge Chiropractic, P.S. Past Accepting new patients

Organizations & group practices 2

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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1396145389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23525 NE NOVELTY HILL RD STE A109",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980531995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23525 NE NOVELTY HILL RD STE A109",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980531995",
            "telephone_number": "425-868-0120",
            "fax_number": "425-868-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOO",
        "first_name": "DESMOND",
        "middle_name": "K",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60447183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.