Individual provider Active NPI

Brent Raymond Finniigan, LMP

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1396936563
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00005855 Issued in WA
Practice address
4537 S Yatima
Tacoma, WA 98418-4929
Phone
(253) 475-3334
Fax
(253) 475-0875
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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 MA00005855 WA Primary

Addresses

Primary practice location

4537 S Yatima
Tacoma, WA 98418-4929

Mailing address

4537 S Yatima
Tacoma, WA 98418-4929
Phone (253) 475-3334

Other identifiers 1

IdentifierTypeStateIssuer
81609OtherWAWA LABOR & INDUSTRIES PRO

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
MA00005855WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brent Finnigan LMP Past Accepting new patients
Still Well Chiropractic Clinic Inc 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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1396936563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4537 S YATIMA",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984184929",
            "telephone_number": "253-475-3334",
            "fax_number": "253-475-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4537 S YATIMA",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984184929",
            "telephone_number": "253-475-3334",
            "fax_number": "253-475-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNIIGAN",
        "first_name": "BRENT",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00005855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR & INDUSTRIES PRO",
            "identifier": "81609",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.