Individual provider Active NPI

Zachary Lee Van Ry, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1457710055
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60549257 Issued in WA
Practice address
10021 Holman Rd NW
Seattle, WA 98177-4920
Phone
(206) 632-8300
NPI assigned
Feb 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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 MA60549257 WA Primary

Addresses

Primary practice location

10021 Holman Rd NW
Seattle, WA 98177-4920

Mailing address

1507 NE 169TH St Apt 5
Shoreline, WA 98155-6042
Phone (425) 876-1154

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
MA60549257WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle MFR, LLC Massage Therapist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1457710055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 NE 169TH ST APT 5",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981556042",
            "telephone_number": "425-876-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 HOLMAN RD NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981774920",
            "telephone_number": "206-632-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN RY",
        "first_name": "ZACHARY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60549257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.