NPIMap

Organization Active NPI

Accident Care

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1609206465
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60389514 Issued in WA
Legal business name
ACCIDENT CARE
Practice address
5904 NE Fourth Plain Blvd
Suite 101
Vancouver, WA 98661-6983
Phone
(360) 696-8888
Fax
(360) 326-9556
NPI assigned
Nov 14, 2013
Last updated
Nov 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Darren FahertyNPI 1609024769
Title
Owner
Phone
(503) 256-3180

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 MA60389514 WA Primary

Addresses

Primary practice location

5904 NE Fourth Plain Blvd
Suite 101
Vancouver, WA 98661-6983

Mailing address

5904 NE Fourth Plain Blvd
Suite 101
Vancouver, WA 98661-6983
Phone (360) 696-8888

National Provider Directory

National Provider Directory
Tax ID family
Accident Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5904 NE Fourth Plain Blvd
Ste 101
Vancouver, WA 98661
Phone (360) 696-8888

Practitioners & affiliated clinicians

Practitioners 5

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": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1609206465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 NE FOURTH PLAIN BLVD",
            "address_2": "SUITE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616983",
            "telephone_number": "360-696-8888",
            "fax_number": "360-326-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 NE FOURTH PLAIN BLVD",
            "address_2": "SUITE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616983",
            "telephone_number": "360-696-8888",
            "fax_number": "360-326-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "FAHERTY",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-256-3180"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60389514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.