Individual provider Active NPI

Cynthia Lou Carmichael Taylor, LMT

  • Massage Therapist
  • University Place, WA
National Provider Identifier
1609050269
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00024272 Issued in WA
Practice address
2811 Bridgeport Way W Ste 17
University Place, WA 98466-4602
Phone
(253) 468-0307
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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 MA00024272 WA Primary

Addresses

Primary practice location

2811 Bridgeport Way W Ste 17
University Place, WA 98466-4602

Mailing address

2811 Bridgeport Way W Ste 17
University Place, WA 98466-4602
Phone (253) 564-4284

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
MA00024272WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodywise Massage Inc Massage Therapist CurrentSince May 14, 2023 Accepting new patients

Locations

2811 Bridgeport Way W
Ste 17
University Place, WA 98466
Phone (253) 468-0307

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.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1609050269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 BRIDGEPORT WAY W STE 17",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664602",
            "telephone_number": "253-564-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 BRIDGEPORT WAY W STE 17",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664602",
            "telephone_number": "253-468-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL TAYLOR",
        "first_name": "CYNTHIA",
        "middle_name": "LOU",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.