Individual provider Active NPI

Ny'Yana Ryann Pickle, LMT

  • Massage Therapist
  • Federal Way, WA
National Provider Identifier
1417833468
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA70005904 Issued in WA
Practice address
33400 13TH PL S
Federal Way, WA 98003-6357
Phone
(253) 838-6070
Fax
(253) 838-6069
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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 MA70005904 WA Primary

Addresses

Primary practice location

33400 13TH PL S
Federal Way, WA 98003-6357

Mailing address

12520 SE 273Rd PL
Kent, WA 98030-8504
Phone (206) 327-4484

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
MA70005904WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NW Sports Rehab, Corp. Massage Therapist CurrentSince Aug 17, 2025 Accepting new patients

Locations

33400 13th Pl S
Federal Way, WA 98003
Phone (253) 838-6070

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1417833468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 SE 273RD PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308504",
            "telephone_number": "206-327-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33400 13TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036357",
            "telephone_number": "253-838-6070",
            "fax_number": "253-838-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKLE",
        "first_name": "NY'YANA",
        "middle_name": "RYANN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA70005904",
            "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 Aug 14, 2025; 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.