Individual provider Active NPI

Suzanne L Remington, LMT

  • Massage Therapist
  • Vail, AZ
National Provider Identifier
1437490653
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60323432 Issued in WA
Practice address
10264 S Blendu Way
Vail, AZ 85641-6842
Phone
(425) 419-3038
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-24850 AZ
Massage Therapist 225700000X MA60323432 WA Primary

Addresses

Primary practice location

10264 S Blendu Way
Vail, AZ 85641-6842

Mailing address

10264 S Blendu Way
Vail, AZ 85641-6842
Phone (425) 419-3038

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.deepmyomassage.com

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

LicenseStateTypeSpecialty
MT-24850AZMDMassage Therapist
MA60323432WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Myo Massage Massage Therapist CurrentSince Sep 5, 2023 Accepting new patients

Locations

10264 S Blendu Way
Vail, AZ 85641
Phone (425) 419-3038

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684022400000",
    "number": "1437490653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10264 S BLENDU WAY",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856416842",
            "telephone_number": "425-419-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10264 S BLENDU WAY",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856416842",
            "telephone_number": "425-419-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMINGTON",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-24850",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60323432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.deepmyomassage.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "10264 S Blendu Way",
            "city": "Vail",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856416842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vail, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; 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.