Active NPI
Cynthia P. Poland, L.M.P
- Massage Therapist
- Federal Way, WA
National Provider Identifier
1407086911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00010501
- Practice address
- 2100 S. 336TH St. #E-1
Federal Way, WA 98003 - Phone
- (253) 874-0327
- NPI assigned
- Jul 17, 2009
- Sex
- Female
- 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 | MA00010501 | WA | Primary |
Addresses
Primary practice location
2100 S. 336TH St. #E-1
Federal Way, WA 98003
Mailing address
2100 S. 336TH St. #E-1
Federal Way, WA 98003
Phone (253) 874-0327
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 |
|---|---|---|---|
| MA00010501 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1407086911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 S. 336TH ST. #E-1",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98003",
"telephone_number": "253-874-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 S. 336TH ST. #E-1",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98003",
"telephone_number": "253-874-0327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAND",
"first_name": "CYNTHIA",
"middle_name": "P.",
"credential": "L.M.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-17",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00010501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.