Active NPI
Meredith Sevy, LMT
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1467128124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61193087
- Practice address
- 2415 SE 165TH Ave Ste 105
Vancouver, WA 98683-4324 - Phone
- (360) 823-2225
- NPI assigned
- Aug 20, 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 | MA61193087 | WA | Primary |
Addresses
Primary practice location
2415 SE 165TH Ave Ste 105
Vancouver, WA 98683-4324
Mailing address
7075 SE Division St
Portland, OR 97206-1140
Other names 1
- Meredith Glenn
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | officeally.com | Davis Family Chiropractic, PLLC |
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 |
|---|---|---|---|
| MA61193087 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Family Chiropractic, PLLC | Single Specialty | Current | Accepting new patients |
Locations
2415 SE 165th Ave
Ste 105
Vancouver, WA 98683
Phone (360) 823-2225
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": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1467128124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7075 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972061140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 SE 165TH AVE STE 105",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986834324",
"telephone_number": "360-823-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVY",
"first_name": "MEREDITH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61193087",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "officeally.com",
"affiliation": "Y",
"endpointDescription": "clearing house",
"affiliationName": "Davis Family Chiropractic, PLLC",
"address_1": "2415 SE 165th Ave Ste 105",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986834324",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MEREDITH",
"last_name": "GLENN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.