Individual provider Active NPI

Darla Bommersbach, LMP

  • Massage Therapist
  • Yakima, WA
National Provider Identifier
1447586573
Registry record updated Oct 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60107868 Issued in WA
Practice address
2503 Racquet LN
Suite 100
Yakima, WA 98902-6114
Phone
(509) 985-6283
NPI assigned
Oct 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2009

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 MA 60107868 WA Primary

Addresses

Primary practice location

2503 Racquet LN
Suite 100
Yakima, WA 98902-6114

Mailing address

PO Box 2432
Yakima, WA 98907-2432
Phone (509) 985-6283

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
MA 60107868WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1256342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256342400000",
    "number": "1447586573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2432",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072432",
            "telephone_number": "509-985-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 RACQUET LN",
            "address_2": "SUITE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026114",
            "telephone_number": "509-985-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMMERSBACH",
        "first_name": "DARLA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-24",
        "last_updated": "2009-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60107868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.