Active NPI
Samantha K Manford, LMP
- Massage Therapist
- Federal Way, WA
National Provider Identifier
1437374246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00023631
- Practice address
- 33427 Pacific Hwy S
C-1
Federal Way, WA 98003-6897 - Phone
- (253) 874-2498
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- 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 | MA00023631 | WA | Primary |
Addresses
Primary practice location
33427 Pacific Hwy S
C-1
Federal Way, WA 98003-6897
Mailing address
802 S G St
Apt B
Tacoma, WA 98405-4630
Phone (253) 970-0835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA00023631 | Other | WA | MASSAGE PRACTITIONER |
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 |
|---|---|---|---|
| MA00023631 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437374246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 S G ST",
"address_2": "APT B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054630",
"telephone_number": "253-970-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33427 PACIFIC HWY S",
"address_2": "C-1",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036897",
"telephone_number": "253-874-2498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANFORD",
"first_name": "SAMANTHA",
"middle_name": "K",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00023631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE PRACTITIONER",
"identifier": "MA00023631",
"state": "WA"
}
],
"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 Jul 8, 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.