Individual provider Active NPI

Meredith Sevy, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1467128124
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61193087 Issued in WA
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

Updated by the provider on Aug 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
MA61193087WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Family Chiropractic, PLLC Single Specialty CurrentSince Aug 28, 2021 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.

Verify at the official NPI Registry.