Active NPI
Robert Wade, LMP
- Massage Therapist
- Seattle, WA
National Provider Identifier
1437396710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00010740
- Practice address
- 203 14TH Ave E
Seattle, WA 98112-5223 - Phone
- (206) 323-2225
- Fax
- (206) 381-0913
- NPI assigned
- Jan 8, 2009
- 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 | MA00010740 | WA | Primary |
Addresses
Primary practice location
203 14TH Ave E
Seattle, WA 98112-5223
Mailing address
203 14TH Ave E
Seattle, WA 98112-5223
Phone (206) 323-2225
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 |
|---|---|---|---|
| MA00010740 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Backfire Inc P S | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231372800000",
"number": "1437396710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 14TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981125223",
"telephone_number": "206-323-2225",
"fax_number": "206-381-0913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 14TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981125223",
"telephone_number": "206-323-2225",
"fax_number": "206-381-0913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "ROBERT",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-08",
"last_updated": "2009-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00010740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.