NPIMap

Individual provider Active NPI

Allen W Holden, LMP

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1437495504
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00022827 Issued in WA
Practice address
11802 NE 65TH St Ste 100
Vancouver, WA 98662-5521
Phone
(360) 253-6883
Fax
(360) 892-7040
NPI assigned
Dec 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00022827 WA Primary

Addresses

Primary practice location

11802 NE 65TH St Ste 100
Vancouver, WA 98662-5521

Mailing address

11802 NE 65TH St Ste 100
Vancouver, WA 98662-5521
Phone (360) 253-6883

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
MA00022827WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allens Tranquility LLC Massage Therapist Current Accepting new patients
NW Interventional Medicine and Orthopedic Rehab PLLC PastSince Jul 18, 2016 Accepting new patients
Vancouver Spine & Orthopedic Rehabilition Center, PLLC Past Accepting new patients

Organizations & group practices 3

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": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1437495504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 NE 65TH ST STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625521",
            "telephone_number": "360-253-6883",
            "fax_number": "360-892-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11802 NE 65TH ST STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625521",
            "telephone_number": "360-253-6883",
            "fax_number": "360-892-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "ALLEN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00022827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.