Active NPI
Heather Justice, LMT
- Massage Therapist
- Chehalis, WA
National Provider Identifier
1548748338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60883018
- Practice address
- 2530 NE Kresky Ave Ste B
Chehalis, WA 98532-2406 - Phone
- (360) 996-4778
- Fax
- (360) 996-4783
- NPI assigned
- Aug 2, 2018
- 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 | MA60883018 | WA | Primary |
Addresses
Primary practice location
2530 NE Kresky Ave Ste B
Chehalis, WA 98532-2406
Mailing address
2530 NE Kresky Ave Ste B
Chehalis, WA 98532-2406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60883018 | Other | WA | LICENSE |
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 |
|---|---|---|---|
| MA60883018 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Pointe | Massage Therapist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1548748338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 NE KRESKY AVE STE B",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 NE KRESKY AVE STE B",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322406",
"telephone_number": "360-996-4778",
"fax_number": "360-996-4783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "HEATHER",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60883018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MA60883018",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.