Active NPI
Malena Grundel
- Massage Therapist
- Redmond, WA
National Provider Identifier
1497389043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60089177
- Practice address
- 16700 NE 79TH St Ste 101
Redmond, WA 98052-4465 - Phone
- (425) 861-3832
- NPI assigned
- Feb 22, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 60089177 | WA | Primary |
Addresses
Primary practice location
16700 NE 79TH St Ste 101
Redmond, WA 98052-4465
Mailing address
16439 NE 106TH PL
Redmond, WA 98052-2734
Phone (425) 922-1806
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 |
|---|---|---|---|
| 60089177 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582329600000",
"number": "1497389043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16439 NE 106TH PL",
"city": "REDMOND",
"state": "WA",
"postal_code": "980522734",
"telephone_number": "425-922-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16700 NE 79TH ST STE 101",
"city": "REDMOND",
"state": "WA",
"postal_code": "980524465",
"telephone_number": "425-861-3832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNDEL",
"first_name": "MALENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-22",
"last_updated": "2020-02-22",
"certification_date": "2020-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60089177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.