Individual provider Active NPI

Rachael Anne Netherton, LMT

  • Massage Therapist
  • Ferndale, WA
National Provider Identifier
1467130161
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00018693 Issued in WA
Practice address
2376 Main St Ste 1
Ferndale, WA 98248-8605
Phone
(360) 312-4656
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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 MA00018693 WA Primary

Addresses

Primary practice location

2376 Main St Ste 1
Ferndale, WA 98248-8605

Mailing address

6674 Olson Rd
Ferndale, WA 98248-9635
Phone (360) 298-0556

Other practice location 1

2413 Main St Ste 105
Ferndale, WA 98248-8826
Phone (360) 441-3800

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
MA00018693WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ferndale Chiropractic Clinic LLC CurrentSince Jul 16, 2023 Accepting new patients

Locations

2376 Main St
Ste 1
Ferndale, WA 98248
Phone (360) 312-4656

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1467130161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6674 OLSON RD",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489635",
            "telephone_number": "360-298-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 MAIN ST STE 1",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982488605",
            "telephone_number": "360-312-4656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2413 Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "WA",
            "postal_code": "982488826",
            "country_code": "US",
            "telephone_number": "360-441-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETHERTON",
        "first_name": "RACHAEL",
        "middle_name": "ANNE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.