Individual provider Active NPI

Bridget Camille Raach, LMP

  • Mechanotherapist
  • Vancouver, WA
National Provider Identifier
1467604512
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA 00016204 Issued in WA
Practice address
13025 NE Fourth Plain Blvd
Suite 102
Vancouver, WA 98682-0000
Phone
(360) 718-8240
Fax
(360) 718-8241
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA 00016204 WA Primary

Addresses

Primary practice location

13025 NE Fourth Plain Blvd
Suite 102
Vancouver, WA 98682-0000

Mailing address

2547 NW 45TH Ave
Camas, WA 98607-8311
Phone (360) 921-2822

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
MA 00016204WAMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Vancouver Chiropractic & Massage Therapy 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1467604512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 NW 45TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078311",
            "telephone_number": "360-921-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13025 NE FOURTH PLAIN BLVD",
            "address_2": "SUITE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986820000",
            "telephone_number": "360-718-8240",
            "fax_number": "360-718-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAACH",
        "first_name": "BRIDGET",
        "middle_name": "CAMILLE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA 00016204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 21, 2008; 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.