Active NPI
Bridget Mixon
- Massage Therapist
- Lacey, WA
National Provider Identifier
1457746679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60558065
- Practice address
- 8650 Martin Way E Ste 207
Lacey, WA 98516-6610 - Phone
- (360) 951-4504
- Fax
- (877) 848-7757
- NPI assigned
- Apr 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | |||
| Massage Therapist | 225700000X | MA 60558065 | WA | Primary |
Addresses
Primary practice location
8650 Martin Way E Ste 207
Lacey, WA 98516-6610
Mailing address
400 Cooper PT Rd SW #27 #12228
Olympia, WA 98502
Phone (360) 951-4504
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 |
|---|---|---|---|
| MA 60558065 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M. Warwick DC PLLC | Current | Accepting new patients |
Locations
8650 Martin Way E
Ste 207
Lacey, WA 98516
Phone (360) 951-4504
400 Cooper Point Rd SW
Ste 27
Olympia, WA 98502
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.
-
- Chiropractor
- Lacey, WA
- NPI 1013311422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1457746679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COOPER PT RD SW #27 #12228",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98502",
"telephone_number": "360-951-4504",
"fax_number": "877-848-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8650 MARTIN WAY E STE 207",
"city": "LACEY",
"state": "WA",
"postal_code": "985166610",
"telephone_number": "360-951-4504",
"fax_number": "877-848-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIXON",
"first_name": "BRIDGET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60558065",
"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 Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.