NPIMap

Organization Active NPI

Sunrise Therapeutic Massage

  • Massage Therapist
  • Puyallup, WA
National Provider Identifier
1417262106
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00017845 Issued in WA
Legal business name
SUNRISE THERAPEUTIC MASSAGE
Practice address
11216 Sunrise Blvd E
Suite #3-108
Puyallup, WA 98374-8848
Phone
(253) 604-0505
Fax
(253) 604-0506
NPI assigned
Aug 18, 2010
Last updated
Aug 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Joni Allen, LMPNPI 1972789105
Title
Owner/Managing Member
Phone
(360) 402-4792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00017845 WA Primary

Addresses

Primary practice location

11216 Sunrise Blvd E
Suite #3-108
Puyallup, WA 98374-8848

Mailing address

20131 Church Lake Dr E
Bonney Lake, WA 98391-8647
Phone (360) 402-4792

National Provider Directory

National Provider Directory

Locations

11216 Sunrise Blvd E
Ste 3-108
Puyallup, WA 98374
Phone (253) 604-0505

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1417262106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20131 CHURCH LAKE DR E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918647",
            "telephone_number": "360-402-4792",
            "fax_number": "253-447-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 SUNRISE BLVD E",
            "address_2": "SUITE #3-108",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748848",
            "telephone_number": "253-604-0505",
            "fax_number": "253-604-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "360-402-4792",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.