Active NPI
Sean Vincent Toly, LMP
- Massage Therapist
- Kenmore, WA
National Provider Identifier
1487994992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60333869
- Practice address
- 8326 NE 187TH Way
Kenmore, WA 98028-2825 - Phone
- (425) 890-3075
- Fax
- (425) 419-4700
- NPI assigned
- Feb 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60333869 | WA | Primary |
Addresses
Primary practice location
8326 NE 187TH Way
Kenmore, WA 98028-2825
Mailing address
8326 NE 187TH Way
Kenmore, WA 98028-2825
Phone (425) 890-3075
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 |
|---|---|---|---|
| MA60333869 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1487994992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8326 NE 187TH WAY",
"city": "KENMORE",
"state": "WA",
"postal_code": "980282825",
"telephone_number": "425-890-3075",
"fax_number": "425-419-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8326 NE 187TH WAY",
"city": "KENMORE",
"state": "WA",
"postal_code": "980282825",
"telephone_number": "425-890-3075",
"fax_number": "425-419-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLY",
"first_name": "SEAN",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-20",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60333869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenmore, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.