Individual provider Active NPI

Tatjana Rosa Schipper, LMP

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1487174652
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
67409045 Issued in WA
Practice address
504 Garfield St S
Tacoma, WA 98444-3628
Phone
(253) 531-5917
Fax
(253) 531-5917
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 67409045 WA Primary

Addresses

Primary practice location

504 Garfield St S
Tacoma, WA 98444-3628

Mailing address

504 Garfield St S
Tacoma, WA 98444-3628
Phone (253) 531-5917

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
67409045WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Spa Massage Therapist CurrentSince Jul 24, 2022 Accepting new patients
Magic Touch Massage, LLC PastSince Jul 24, 2022 Accepting new patients

Locations

504 Garfield St S
Tacoma, WA 98444
Phone (253) 531-5917

Organizations & group practices 2

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487174652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 GARFIELD ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984443628",
            "telephone_number": "253-531-5917",
            "fax_number": "253-531-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 GARFIELD ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984443628",
            "telephone_number": "253-531-5917",
            "fax_number": "253-531-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIPPER",
        "first_name": "TATJANA",
        "middle_name": "ROSA",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "67409045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.