Meredith Brooks Ellis, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60284701 Issued in WA

Practice address

5236 California Ave SW
Suite D
Seattle, WA 98136-1244

Phone

(206) 331-3999

Fax

(206) 388-3226

NPI assigned

Jun 1, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M3 Bodyworks LLC

  dba M3 Bodyworks Massage Clinic

  • Massage Therapist
  • Seattle, WA
  • NPI 1679868962
  NPD (past)
• Monroe Therapeutic Massage, P.S.

  dba M3 Bodyworks Massage Clinic

  • Massage Therapist
  • Seattle, WA
  • NPI 1376932004
  NPD (past)

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1417218868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 NE 89TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981153038",
            "telephone_number": "206-524-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 CALIFORNIA AVE SW",
            "address_2": "SUITE D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361244",
            "telephone_number": "206-331-3999",
            "fax_number": "206-388-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MEREDITH",
        "middle_name": "BROOKS",
        "name_prefix": "Ms.",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60284701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Kyle Ellis, MD, PHD
• Laura Elizabeth Ellis, CPD
• Marianne Brooks Ellis, M.A.
• Mei Ling Ellis, MPH, MSW, LICSW
• Melissa Elaine Ellis, RN
• Nathan Jai Ellis, RN
• Sandra Kase Ellis, AU.D., FAAA
• Sarah Ellis, L.M.
• Simon Adriane Ellis, CNM
• Tajiana Marie Ellis

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.