Jacob Cody Pidding, LMT # MA60869105

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60869105 Issued in WA

Practice address

606 120TH Ave NE Ste 100
Building D
Bellevue, WA 98005-3024

Phone

(425) 688-0223

Fax

(425) 688-0323

NPI assigned

Jul 1, 2018

Last updated

Jan 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacob Cody Wangler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Health Consulting, LLC

  • Rehabilitation Chiropractor
  • Bellevue, WA
  • NPI 1366991572

  Massage Therapist

  NPD (past)
• Sabina Drury

  • Massage Therapist
  • Yakima, WA
  • NPI 1265855639
  NPD (past)

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

{
    "created_epoch": "1530403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1487140513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 108TH AVE NE APT A202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047856",
            "telephone_number": "509-452-5155",
            "fax_number": "509-452-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 120TH AVE NE STE 100",
            "address_2": "BUILDING D",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053024",
            "telephone_number": "425-688-0223",
            "fax_number": "425-688-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDDING",
        "first_name": "JACOB",
        "middle_name": "CODY",
        "name_prefix": "Mr.",
        "credential": "LMT # MA60869105",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-01",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60869105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACOB",
            "last_name": "WANGLER",
            "middle_name": "CODY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Physical Medicine of Bellevue PLLC
• Physical Therapy Essentials
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc (Select Physical Therapy)
• Physiotherapy Associates Inc
• Mitchell Piddisi, DPT
• Janet H Piehl
• Josephine Piel
• Michael W. Piepkorn, M.D.
• Caleb Pierce

• Massage Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.