Active NPI
Jennifer Ortiz, LMT
- Massage Therapist
- Puyallup, WA
National Provider Identifier
1558195784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00020960
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00020960 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage Me LLC | Single Specialty | Current | 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.