Active NPI
Cheryl Porter
- Massage Therapist
- Battle Ground, WA
National Provider Identifier
1447616263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60574643
- Practice address
- 113 S Parkway Ave
Battle Ground, WA 98604-9294 - Phone
- (360) 687-1781
- Fax
- (360) 687-8458
- NPI assigned
- Jan 8, 2016
- Sex
- Female
- 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 | MA60574643 | WA | Primary |
Addresses
Primary practice location
113 S Parkway Ave
Battle Ground, WA 98604-9294
Mailing address
113 S Parkway Ave
Battle Ground, WA 98604-9294
Phone (360) 687-1781
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 |
|---|---|---|---|
| MA60574643 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purple Pear Body Therapy | Past | Accepting new patients | |
| Balance & Bloom Bodywork LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Massage Therapist
- Battle Ground, WA
- NPI 1548191224
-
- Specialist
- Battle Ground, WA
- NPI 1235561903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1447616263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 S PARKWAY AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049294",
"telephone_number": "360-687-1781",
"fax_number": "360-687-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 S PARKWAY AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049294",
"telephone_number": "360-687-1781",
"fax_number": "360-687-8458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "CHERYL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-08",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60574643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.