Individual provider Active NPI

Esther Bannwart, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1508996844
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00015623 Issued in WA
Practice address
1201 3Rd Ave Ste 450
Seattle, WA 98101-3000
Phone
(206) 447-2220
Fax
(206) 447-2228
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

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.

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
MA00015623WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing for Seniors Massage Therapist CurrentSince Apr 6, 2021 Accepting new patients
Healing for Seniors Massage Therapist CurrentSince Apr 6, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00015623 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

1201 3Rd Ave Ste 450
Seattle, WA 98101-3000

Mailing address

1201 3Rd Ave Ste 450
Seattle, WA 98101-3000
Phone (206) 447-2220

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
1073674388OtherWAGROUP NPI NUMBER
160403OtherWAINDIVIDUAL L&I NUMBER
162840OtherWAGROUP L&I NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508996844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 3RD AVE STE 450",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013000",
            "telephone_number": "206-447-2220",
            "fax_number": "206-447-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 3RD AVE STE 450",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013000",
            "telephone_number": "206-447-2220",
            "fax_number": "206-447-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNWART",
        "first_name": "ESTHER",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1073674388",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL L&I NUMBER",
            "identifier": "160403",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP L&I NUMBER",
            "identifier": "162840",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.