Active NPI
Travis Jones, LMT
- Massage Therapist
- Friday Harbor, WA
National Provider Identifier
1558065938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61061990
- Practice address
- 777 Mullis St
Suite D
Friday Harbor, WA 98250-9822 - Phone
- (808) 936-5490
- NPI assigned
- Mar 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 61061990 | WA | Primary |
Addresses
Primary practice location
777 Mullis St
Suite D
Friday Harbor, WA 98250-9822
Mailing address
1050 Larrabee Ave Suite 104
PMB 401
Bellingham, WA 98225
Phone (808) 936-5490
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 |
|---|---|---|---|
| 61061990 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1558065938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 LARRABEE AVE SUITE 104",
"address_2": "PMB 401",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "808-936-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 MULLIS ST",
"address_2": "SUITE D",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982509822",
"telephone_number": "808-936-5490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TRAVIS",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "61061990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Friday Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.