Individual provider Active NPI

Scott R Lesieur, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1497048532
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA10635 Issued in WA
Practice address
9901 NE 7TH Ave Ste B228
Vancouver, WA 98685-4529
Phone
(360) 513-3210
NPI assigned
May 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 MA10635 WA Primary

Addresses

Primary practice location

9901 NE 7TH Ave Ste B228
Vancouver, WA 98685-4529

Mailing address

PO Box 1246
Woodland, WA 98674-1200
Phone (360) 513-3210

Other practice location 1

13307 NE Highway 99 Ste 113
Vancouver, WA 98686-3033
Phone (360) 314-2761

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
MA10635WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barnick Chiropractic, PS Past Accepting new patients
Priority Life Chiropractic & Massage LLC Past Accepting new patients

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": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1497048532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1246",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986741200",
            "telephone_number": "360-513-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 NE 7TH AVE STE B228",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854529",
            "telephone_number": "360-513-3210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13307 NE Highway 99 Ste 113",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986863033",
            "country_code": "US",
            "telephone_number": "360-314-2761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESIEUR",
        "first_name": "SCOTT",
        "middle_name": "R",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA10635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.