Individual provider Active NPI

Jonathan Largent, LMP

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1609205475
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60342187 Issued in WA
Practice address
14862 Lake Hills Blvd
Bellevue, WA 98007-5821
Phone
(425) 649-9335
Fax
(425) 649-0256
NPI assigned
Nov 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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 MA60342187 WA Primary

Addresses

Primary practice location

14862 Lake Hills Blvd
Bellevue, WA 98007-5821

Mailing address

23319 Cedar Way
Apt #K201
Mountlake Terrace, WA 98043-4991
Phone (801) 419-2450

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
MA60342187WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chan Healthcare Group PS 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.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383350400000",
    "number": "1609205475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23319 CEDAR WAY",
            "address_2": "APT #K201",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434991",
            "telephone_number": "801-419-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14862 LAKE HILLS BLVD",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075821",
            "telephone_number": "425-649-9335",
            "fax_number": "425-649-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGENT",
        "first_name": "JONATHAN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60342187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.