Individual provider Active NPI

Micheal D Bitterman, MA

  • Massage Therapist
  • East Wenatchee, WA
National Provider Identifier
1609267087
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60530751 Issued in WA
Practice address
230 Grant Rd
Suite B27
East Wenatchee, WA 98802-5383
Phone
(509) 884-1437
Fax
(509) 884-2811
NPI assigned
Feb 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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 MA60530751 WA Primary

Addresses

Primary practice location

230 Grant Rd
Suite B27
East Wenatchee, WA 98802-5383

Mailing address

230 Grant Rd
Suite B27
East Wenatchee, WA 98802-5383
Phone (509) 884-1437

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MA60530751WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Physical Therapy, PLLC PastSince Oct 1, 1997 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": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1609267087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GRANT RD",
            "address_2": "SUITE B27",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025383",
            "telephone_number": "509-884-1437",
            "fax_number": "509-884-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GRANT RD",
            "address_2": "SUITE B27",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025383",
            "telephone_number": "509-884-1437",
            "fax_number": "509-884-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTERMAN",
        "first_name": "MICHEAL",
        "middle_name": "D",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60530751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.