Individual provider Active NPI

Jennifer Ortiz, LMT

  • Massage Therapist
  • Puyallup, WA
National Provider Identifier
1558195784
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00020960 Issued in WA
Practice address
5602 176TH St E Ste G102103
Puyallup, WA 98375-9307
Phone
(253) 495-7188
Fax
(253) 271-0445
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00020960 WA Primary

Addresses

Primary practice location

5602 176TH St E Ste G102103
Puyallup, WA 98375-9307

Mailing address

18328 71St Ave E
Puyallup, WA 98375-1843
Phone (253) 678-9777

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
MA00020960WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage Me LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients

Locations

5602 176th St E
Ste G102103
Puyallup, WA 98375
Phone (253) 495-7188

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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1558195784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18328 71ST AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983751843",
            "telephone_number": "253-678-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 176TH ST E STE G102103",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759307",
            "telephone_number": "253-495-7188",
            "fax_number": "253-271-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JENNIFER",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.