Organization Active NPI

Warrior Massage PLLC

Doing business as Warrior Massage

  • Massage Therapist
  • Everett, WA
National Provider Identifier
1598273625
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WARRIOR MASSAGE PLLC
Doing business as
Warrior Massage
Practice address
11611 Airport Rd Ste 204
Everett, WA 98204-3782
Phone
(202) 413-6999
Fax
(425) 348-0478
NPI assigned
Jan 10, 2018
Last updated
Jan 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Jesse Tyler Jones, LMTNPI 1093092934
Title
Owner
Phone
(202) 413-6999

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
Massage Therapist 225700000X Primary

Addresses

Primary practice location

11611 Airport Rd Ste 204
Everett, WA 98204-3782

Mailing address

PO Box 4484
Everett, WA 98204-0048
Phone (202) 413-6999

Other names 1

  • Warrior Massage Doing business as

National Provider Directory

National Provider Directory

Locations

11611 Airport Rd
Ste 204
Everett, WA 98204
Phone (425) 348-4649

Practitioners & affiliated clinicians

Practitioners 2

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": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1598273625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4484",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982040048",
            "telephone_number": "202-413-6999",
            "fax_number": "425-348-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 AIRPORT RD STE 204",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982043782",
            "telephone_number": "202-413-6999",
            "fax_number": "425-348-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRIOR MASSAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-413-6999",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warrior Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.