Active NPI
Tracy A Frigard, LMP
- Massage Therapist
- Covington, WA
National Provider Identifier
1528289923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA23495
- Practice address
- 16720 SE 271St St Ste 200
Covington, WA 98042-7342 - Phone
- (253) 630-5805
- NPI assigned
- May 1, 2007
- Last updated
- Jul 8, 2007
- 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 | MA23495 | WA | Primary |
Addresses
Primary practice location
16720 SE 271St St Ste 200
Covington, WA 98042-7342
Mailing address
26837 Maple Valley Black Diamond Rd SE Ste 201
Maple Valley, WA 98038-9917
Phone (425) 413-4427
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 |
|---|---|---|---|
| MA23495 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpatient Physical Therapy & Sports Rehabilitation Inc PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Maple Valley, WA
- NPI 1730394420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528289923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26837 MAPLE VALLEY BLACK DIAMOND RD SE STE 201",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980389917",
"telephone_number": "425-413-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16720 SE 271ST ST STE 200",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980427342",
"telephone_number": "253-630-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIGARD",
"first_name": "TRACY",
"middle_name": "A",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA23495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, WA
- Franciscan Medical Group (FMG-C Gabriel Alperovich, MD)
- April Francisco, FNP-BC
- Adelheith E Frank, LMP
- Fred Meyer Stores Inc (Fred Meyer Pharmacy)
- Fred Meyer Stores Inc (QFC Pharmacy)
- Katherine Furman, LMP
- Aleina Gabriel, RBT, CBT
- Josephine Gage, MASSAGE THERAPY
- Gail a Truitt Licsw Counseling Services S Corp
- Justin Daniel Gale, DPT, ATC
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.