Active NPI
Joel Paul Mabry, LMP
- Massage Therapist
- Shelton, WA
National Provider Identifier
1609016203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00014205
- Practice address
- 221 W Railroad Ave Ste I
Shelton, WA 98584-3507 - Phone
- (360) 427-3189
- Fax
- (651) 666-1427
- NPI assigned
- Feb 23, 2009
- Sex
- Male
- 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 | MA00014205 | WA | Primary |
Addresses
Primary practice location
221 W Railroad Ave Ste I
Shelton, WA 98584-3507
Mailing address
221 W Railroad Ave Ste I
Shelton, WA 98584-3507
Phone (360) 229-0342
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 |
|---|---|---|---|
| MA00014205 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Destination Massage & Spa | Massage Therapist | Past | Accepting new patients |
| Balance Day Spa | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Health Worker
- Shelton, WA
- NPI 1740420348
-
- Massage Therapist
- Shelton, WA
- NPI 1083941082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1609016203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W RAILROAD AVE STE I",
"city": "SHELTON",
"state": "WA",
"postal_code": "985843507",
"telephone_number": "360-229-0342",
"fax_number": "651-666-1427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W RAILROAD AVE STE I",
"city": "SHELTON",
"state": "WA",
"postal_code": "985843507",
"telephone_number": "360-427-3189",
"fax_number": "651-666-1427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "JOEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-23",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00014205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.