Active NPI
Kathrine Santiago, LMT
- Massage Therapist
- Kirkland, WA
National Provider Identifier
1568757177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60563121
- Practice address
- 13116 NE 70TH PL
Kirkland, WA 98033 - Phone
- (425) 576-5433
- NPI assigned
- Jun 10, 2011
- Last updated
- May 24, 2018
- 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 | MA60563121 | WA | Primary |
Addresses
Primary practice location
13116 NE 70TH PL
Kirkland, WA 98033
Mailing address
12612 NE 187TH St Apt 2401
Bothell, WA 98011-9341
Phone (425) 614-9571
Other practice location 1
5728 SE 104th Ave
Portland, OR 97266-4150
Phone (503) 970-3513
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 |
|---|---|---|---|
| MA60563121 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirkland Life Chiropractic, P.S. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Chiropractor
- Kirkland, WA
- NPI 1184827800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1568757177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12612 NE 187TH ST APT 2401",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980119341",
"telephone_number": "425-614-9571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13116 NE 70TH PL",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98033",
"telephone_number": "425-576-5433"
}
],
"practiceLocations": [
{
"address_1": "5728 SE 104th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972664150",
"country_code": "US",
"telephone_number": "503-970-3513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO",
"first_name": "KATHRINE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-10",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60563121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.