Individual provider Active NPI

Vincent P Hood, LMP

  • Massage Therapist
  • Yakima, WA
National Provider Identifier
1487795654
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00021915 Issued in WA
Practice address
3908 Creekside Loop Ste 110
Yakima, WA 98902-4858
Phone
(509) 571-1081
Fax
(509) 248-5356
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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 MA00021915 WA Primary

Addresses

Primary practice location

3908 Creekside Loop Ste 110
Yakima, WA 98902-4858

Mailing address

6901 W Chestnut Ave
Yakima, WA 98908-1653
Phone (509) 952-5399

Other identifiers 1

IdentifierTypeStateIssuer
0223099OtherWALABOR AND INDUSTRIES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vince@muscle-release.com Other

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
MA00021915WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Muscle Release Medical Massage, LLC Massage Therapist CurrentSince Nov 22, 2020 Accepting new patients

Locations

3908 Creekside Loop
Ste 110
Yakima, WA 98902
Phone (509) 571-1081

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1487795654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 W CHESTNUT AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989081653",
            "telephone_number": "509-952-5399",
            "fax_number": "509-698-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 CREEKSIDE LOOP STE 110",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024858",
            "telephone_number": "509-571-1081",
            "fax_number": "509-248-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "VINCENT",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0223099",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vince@muscle-release.com",
            "affiliation": "N",
            "endpointDescription": "Office email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Scheduling information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Names, dates, times",
            "address_1": "3908 Creekside Loop Ste 110",
            "city": "Yakima",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989024858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.