Individual provider Active NPI

Garrett L Colibri, LMT

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1558838219
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60889660 Issued in WA
Practice address
700 Dupont St
Bellingham, WA 98225-4021
Phone
(360) 751-7544
NPI assigned
Oct 30, 2018
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-24682 AZ
Massage Therapist 225700000X MA60889660 WA Primary

Addresses

Primary practice location

700 Dupont St
Bellingham, WA 98225-4021

Mailing address

617 E Laurel Rd
Bellingham, WA 98226-9728

Other practice location 1

617 E Laurel Rd
Bellingham, WA 98226-9728
Phone (360) 751-7544

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
MT-24682AZMDMassage Therapist
MA60889660WAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1558838219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E LAUREL RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 DUPONT ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254021",
            "telephone_number": "360-751-7544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 E Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982269728",
            "country_code": "US",
            "telephone_number": "360-751-7544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLIBRI",
        "first_name": "GARRETT",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-24682",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60889660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.