Active NPI
Melinda Hartley, LMT
- Massage Therapist
- Stevenson, WA
National Provider Identifier
1487029856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60012555
- Practice address
- 40 SW Cascade Ave Ste 40-B
Stevenson, WA 98648-6284 - Phone
- (541) 400-7276
- NPI assigned
- Dec 9, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 23839 | OR | |
| Massage Therapist | 225700000X | MA60012555 | WA | Primary |
Addresses
Primary practice location
40 SW Cascade Ave Ste 40-B
Stevenson, WA 98648-6284
Mailing address
PO Box 564
North Bonneville, WA 98639-0564
Phone (541) 400-7276
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 |
|---|---|---|---|
| 23839 | OR | MD | Massage Therapist |
| MA60012555 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1487029856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 564",
"city": "NORTH BONNEVILLE",
"state": "WA",
"postal_code": "986390564",
"telephone_number": "541-400-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SW CASCADE AVE STE 40-B",
"city": "STEVENSON",
"state": "WA",
"postal_code": "986486284",
"telephone_number": "541-400-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "MELINDA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "23839",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60012555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevenson, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.