Active NPI
Thomas D Meyer, LMP, CCSP
- Massage Therapist
- Quilcene, WA
National Provider Identifier
1437348570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00015460
- Practice address
- 1054 Ripley Creek Road
Quilcene, WA 98376 - Phone
- (360) 301-1663
- NPI assigned
- Oct 15, 2007
- 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 | MA00015460 | WA | Primary |
Addresses
Primary practice location
1054 Ripley Creek Road
Quilcene, WA 98376
Mailing address
PO Box 854
Quilcene, WA 98376-0854
Phone (360) 301-1663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA00015460 | Other | WA | STATE OF WASHINGTON |
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 |
|---|---|---|---|
| MA00015460 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1437348570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 854",
"city": "QUILCENE",
"state": "WA",
"postal_code": "983760854",
"telephone_number": "360-301-1663",
"fax_number": "360-765-3655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 RIPLEY CREEK ROAD",
"city": "QUILCENE",
"state": "WA",
"postal_code": "98376",
"telephone_number": "360-301-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "THOMAS",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LMP, CCSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-15",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00015460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WASHINGTON",
"identifier": "MA00015460",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Quilcene, WA
- Jackie Marie Jacques, PTA 16675171
- Jefferson County Fire Protection District 2
- Jefferson County Public Hospital District No 2
- Ann Mrlowe Kittredge, LMP
- Keith David Meyer, D.C.
- Merrily Mount, A.R.N.P.
- Tamsin Jade Pargiter
- Genevieve D Pate, ARNP
- Quilcene School District
- Quilcene Volunteer Fire Dept Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.