NPIMap

Organization Active NPI

Apollonian Laurel Massage

  • Specialist
  • Bremerton, WA
National Provider Identifier
1578933404
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 60513250 Issued in WA
Legal business name
APOLLONIAN LAUREL MASSAGE
Practice address
143 NE Miramar Cir
Bremerton, WA 98311-8502
Phone
(360) 328-0759
NPI assigned
Oct 5, 2015
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Tomas Enrique Delgado, LMPNPI 1689066722
Title
Massage Therapist
Phone
(360) 328-0759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA 60513250 WA Primary

Addresses

Primary practice location

143 NE Miramar Cir
Bremerton, WA 98311-8502

Mailing address

143 NE Miramar Cir
Bremerton, WA 98311-8502
Phone (360) 328-0759

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1578933404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 NE MIRAMAR CIR",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983118502",
            "telephone_number": "360-328-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 NE MIRAMAR CIR",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983118502",
            "telephone_number": "360-328-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLONIAN LAUREL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "360-328-0759",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 60513250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.