Individual provider Active NPI

Linda Strub-Andersen, LMT

  • Massage Therapist
  • Port Orchard, WA
National Provider Identifier
1407155179
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00005418 Issued in WA
Practice address
2461 Anderson Hill Rd SW
Port Orchard, WA 98367-9311
Phone
(360) 471-3918
Fax
(360) 697-4409
NPI assigned
Mar 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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 MA00005418 WA Primary

Addresses

Primary practice location

2461 Anderson Hill Rd SW
Port Orchard, WA 98367-9311

Mailing address

2461 Anderson Hill Rd SW
Port Orchard, WA 98367-9311
Phone (360) 471-3918

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
MA00005418WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1407155179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 ANDERSON HILL RD SW",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679311",
            "telephone_number": "360-471-3918",
            "fax_number": "360-697-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 ANDERSON HILL RD SW",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679311",
            "telephone_number": "360-471-3918",
            "fax_number": "360-697-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUB-ANDERSEN",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00005418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.