Active NPI
Sophia Stead, LMT, BCTMB
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1457190530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00013593
- Practice address
- 14713 SE 45TH PL
Bellevue, WA 98006-2432 - Phone
- (206) 650-7674
- NPI assigned
- May 20, 2024
- Last updated
- May 20, 2024
- 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 | MA00013593 | WA | Primary |
Addresses
Primary practice location
14713 SE 45TH PL
Bellevue, WA 98006-2432
Mailing address
PO Box 40264
Bellevue, WA 98015-4264
Phone (206) 650-7674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831659424 | Other | WA | CHIRO AND MASSAGE OFFICE |
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00013593 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1457190530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40264",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980154264",
"telephone_number": "206-650-7674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14713 SE 45TH PL",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980062432",
"telephone_number": "206-650-7674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEAD",
"first_name": "SOPHIA",
"credential": "LMT, BCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00013593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIRO AND MASSAGE OFFICE",
"identifier": "1831659424",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.