Individual provider Active NPI

Mary M Robsahm, M.ED., LMP

  • Massage Therapist
  • Monroe, WA
National Provider Identifier
1467674184
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00015727 Issued in WA
Practice address
404 E Fremont St
Monroe, WA 98272-2315
Phone
(425) 422-8455
Fax
(360) 794-7492
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA00015727 WA Primary

Addresses

Primary practice location

404 E Fremont St
Monroe, WA 98272-2315

Mailing address

17470 136TH PL SE
Monroe, WA 98272-9734
Phone (425) 422-8455

Other names 1

  • Meg Robsahm Other name

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
MA00015727WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467674184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17470 136TH PL SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729734",
            "telephone_number": "425-422-8455",
            "fax_number": "360-794-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E FREMONT ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722315",
            "telephone_number": "425-422-8455",
            "fax_number": "360-794-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBSAHM",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "M.ED., LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEG",
            "last_name": "ROBSAHM",
            "credential": "M.ED, LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.