Active NPI
Doug McCreary, LMP
- Massage Therapist
- Seattle, WA
National Provider Identifier
1417257577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60115085
- Practice address
- 906 E John St
#202
Seattle, WA 98102-6400 - Phone
- (206) 778-3684
- NPI assigned
- Oct 22, 2010
- Sex
- Male
- 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 | MA60115085 | WA | Primary |
Addresses
Primary practice location
906 E John St
#202
Seattle, WA 98102-6400
Mailing address
521 NW 196TH PL
Shoreline, WA 98177-2543
Phone (206) 778-3684
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 |
|---|---|---|---|
| MA60115085 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1417257577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 NW 196TH PL",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981772543",
"telephone_number": "206-778-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 E JOHN ST",
"address_2": "#202",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981026400",
"telephone_number": "206-778-3684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCREARY",
"first_name": "DOUG",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-22",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60115085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.