Active NPI
Torin Richard Hodge, LMP
- Massage Therapist
- Redmond, WA
National Provider Identifier
1538411244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60292613
- Practice address
- 17214 Redmond Way
Redmond, WA 98052-4403 - Phone
- (425) 558-9399
- Fax
- (425) 558-9439
- NPI assigned
- Oct 4, 2012
- Sex
- Male
- 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 | MA60292613 | WA | Primary |
Addresses
Primary practice location
17214 Redmond Way
Redmond, WA 98052-4403
Mailing address
7250 Old Redmond Rd
F-124
Redmond, WA 98052-6840
Phone (520) 661-8789
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 |
|---|---|---|---|
| MA60292613 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1538411244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7250 OLD REDMOND RD",
"address_2": "F-124",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526840",
"telephone_number": "520-661-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17214 REDMOND WAY",
"city": "REDMOND",
"state": "WA",
"postal_code": "980524403",
"telephone_number": "425-558-9399",
"fax_number": "425-558-9439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "TORIN",
"middle_name": "RICHARD",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60292613",
"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 Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.