Individual provider Active NPI

Stephanie Marie Kowis, LMP

  • Mechanotherapist
  • Puyallup, WA
National Provider Identifier
1447569827
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA60179147 Issued in WA
Practice address
1220 E Pioneer Ave
Puyallup, WA 98372-3382
Phone
(509) 590-3583
NPI assigned
Oct 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA60179147 WA Primary

Addresses

Primary practice location

1220 E Pioneer Ave
Puyallup, WA 98372-3382

Mailing address

1220 E Pioneer Ave
Puyallup, WA 98372-3382
Phone (509) 590-3583

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
MA60179147WAMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Therapeutic Massage LLC Current Accepting new patients

Locations

3424 S Grand Blvd
Spokane, WA 99203
Phone (509) 720-1073

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": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1447569827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E PIONEER AVE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723382",
            "telephone_number": "509-590-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E PIONEER AVE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723382",
            "telephone_number": "509-590-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWIS",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60179147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.