NPIMap

Organization Active NPI

Body Pro Clinic, Inc.

  • Massage Therapist
  • Yakima, WA
National Provider Identifier
1427384122
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00018763 Issued in WA
Legal business name
BODY PRO CLINIC, INC.
Practice address
915 Summitview Ave
Yakima, WA 98902-3021
Phone
(509) 966-1640
Fax
(509) 823-4145
NPI assigned
Oct 30, 2009
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Katie Lynn Schneider, LMTNPI 1912979493
Title
Owner
Phone
(509) 966-1640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X WA
Physical Therapist 225100000X PT00010315 WA
Massage Therapist 225700000X MA00018763 WA Primary

Addresses

Primary practice location

915 Summitview Ave
Yakima, WA 98902-3021

Mailing address

PO Box 8051
Yakima, WA 98908-0051
Phone (509) 469-1903

Other identifiers 1

IdentifierTypeStateIssuer
0254272OtherWAWA DEPT. OF L&I

National Provider Directory

National Provider Directory

Locations

915 Summitview Ave
Yakima, WA 98902
Phone (509) 965-4850

Practitioners & affiliated clinicians

Practitioners 10

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": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1427384122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8051",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989080051",
            "telephone_number": "509-469-1903",
            "fax_number": "509-469-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SUMMITVIEW AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023021",
            "telephone_number": "509-966-1640",
            "fax_number": "509-823-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY PRO CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-966-1640",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010315",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT. OF L&I",
            "identifier": "0254272",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.