Individual provider Active NPI

Linda S Greenwood Cantwell, LMP

  • Massage Therapist
  • North Bend, WA
National Provider Identifier
1578706776
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA12970 Issued in WA
Practice address
47421 SE 159TH St
North Bend, WA 98045-8634
Phone
(425) 888-3600
NPI assigned
Apr 17, 2009
Last updated
Apr 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA12970 WA Primary

Addresses

Primary practice location

47421 SE 159TH St
North Bend, WA 98045-8634

Mailing address

47421 SE 159TH St
North Bend, WA 98045-8634

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
MA12970WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1578706776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47421 SE 159TH ST",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47421 SE 159TH ST",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458634",
            "telephone_number": "425-888-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD CANTWELL",
        "first_name": "LINDA",
        "middle_name": "S",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA12970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.