Active NPI
Tina Rae Lee
- Massage Therapist
- Covington, WA
National Provider Identifier
1598512840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61505801
- Practice address
- 15610 SE 272ND St BLDG a
Covington, WA 98042-4416 - Phone
- (253) 638-2424
- NPI assigned
- May 3, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 61505801 | WA | Primary |
Addresses
Primary practice location
15610 SE 272ND St BLDG a
Covington, WA 98042-4416
Mailing address
15631 SE Lake Moneysmith Rd
Auburn, WA 98092-5288
Phone (509) 842-7679
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 |
|---|---|---|---|
| 61505801 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearson Chiropractic PLLC | 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 and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Covington, WA
- NPI 1235337940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1598512840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15631 SE LAKE MONEYSMITH RD",
"city": "AUBURN",
"state": "WA",
"postal_code": "980925288",
"telephone_number": "509-842-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15610 SE 272ND ST BLDG A",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980424416",
"telephone_number": "253-638-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TINA",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61505801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.