Active NPI
Mandi Lynn Johnson, LMT, ST-C
- Massage Therapist
- Port Orchard, WA
National Provider Identifier
1437322138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 00019018
- Practice address
- 525 SW Winter Springs LN
Port Orchard, WA 98367-9318 - Phone
- (509) 432-6506
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | ST61607836 | WA | |
| Massage Therapist | 225700000X | MA 00019018 | WA | Primary |
Addresses
Primary practice location
525 SW Winter Springs LN
Port Orchard, WA 98367-9318
Mailing address
525 SW Winter Springs LN
Port Orchard, WA 98367-9318
Phone (509) 432-6506
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 |
|---|---|---|---|
| MA 00019018 | WA | MD | Massage Therapist |
| ST61607836 | WA | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1437322138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 SW WINTER SPRINGS LN",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983679318",
"telephone_number": "509-432-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 SW WINTER SPRINGS LN",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983679318",
"telephone_number": "509-432-6506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MANDI",
"middle_name": "LYNN",
"credential": "LMT, ST-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "WA",
"license": "ST61607836",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 00019018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.