Active NPI
Felisity E Brush, LMP
- Massage Therapist
- Lacey, WA
National Provider Identifier
1447929815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60714230
- Practice address
- 4525 3Rd Ave SE Ste 200
Lacey, WA 98503-1010 - Phone
- (360) 490-8134
- NPI assigned
- Sep 9, 2021
- Last updated
- Sep 9, 2021
- 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 | MA60714230 | WA | Primary |
Addresses
Primary practice location
4525 3Rd Ave SE Ste 200
Lacey, WA 98503-1010
Mailing address
2301 Angela St SE
Lacey, WA 98503-3314
Phone (360) 490-8134
Other practice location 1
1800 Cooper Point Rd SW Ste 24A
Olympia, WA 98502-1039
Phone (360) 943-7360
Other practice location 2
2015 Cooks Hill Rd Ste 200
Centralia, WA 98531-9074
Phone (360) 330-8939
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 |
|---|---|---|---|
| MA60714230 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kudick Chiropractic P.S. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Olympia, WA
- NPI 1124114582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1447929815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 ANGELA ST SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985033314",
"telephone_number": "360-490-8134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 3RD AVE SE STE 200",
"city": "LACEY",
"state": "WA",
"postal_code": "985031010",
"telephone_number": "360-490-8134"
}
],
"practiceLocations": [
{
"address_1": "1800 Cooper Point Rd SW Ste 24A",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985021039",
"country_code": "US",
"telephone_number": "360-943-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2015 Cooks Hill Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Centralia",
"state": "WA",
"postal_code": "985319074",
"country_code": "US",
"telephone_number": "360-330-8939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUSH",
"first_name": "FELISITY",
"middle_name": "E",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60714230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.