Active NPI
Connor James Igielski, LMT
- Massage Therapist
- Seatac, WA
National Provider Identifier
1467014266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6097325
- Practice address
- 19800 International Blvd Ste a
Seatac, WA 98188-5470 - Phone
- (206) 878-8888
- NPI assigned
- Jul 1, 2019
- Sex
- Male
- 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 | 6097325 | WA | Primary |
Addresses
Primary practice location
19800 International Blvd Ste a
Seatac, WA 98188-5470
Mailing address
19800 International Blvd Ste a
Seatac, WA 98188-5470
Phone (206) 878-8888
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 |
|---|---|---|---|
| 6097325 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Chiropractic #1, PLLC | 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.
-
- Chiropractor
- Seatac, WA
- NPI 1225262983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1467014266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19800 INTERNATIONAL BLVD STE A",
"city": "SEATAC",
"state": "WA",
"postal_code": "981885470",
"telephone_number": "206-878-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19800 INTERNATIONAL BLVD STE A",
"city": "SEATAC",
"state": "WA",
"postal_code": "981885470",
"telephone_number": "206-878-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGIELSKI",
"first_name": "CONNOR",
"middle_name": "JAMES",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "6097325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seatac, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.